National Provider Identifier Database

PARADISE PINES LLC
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

PARADISE PINES LLC
4110 WINFIELD STREET
RAPID CITY, SD57701
Phone: 605-348-2596
Fax: 605-342-4119
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for PARADISE PINES LLC

NPI Number 1811180565
Legal business name
LBN
PARADISE PINES LLC
Authorized official JANICE ZANDSTRA - (MEMBER FOR PARADISE PINES LLC)
Entity Organization
Organization subpart Yes
Enumeration date 08/24/2007
Last updated 08/24/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • SD License #: 47202
  • SD License #: 51260
  • SD Medicaid: 9571202

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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