National Provider Identifier Database

ROSHOLT COUNTRY INN
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

ROSHOLT COUNTRY INN
208 PRAIRIE AVE
ROSHOLT, SD57260-0218
Phone: 605-537-4588
Fax: 605-537-4890
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X
Alzheimer Center /Dementia Center/Dementia Special Care Unit 311500000X

* Indicates primary specialty

NPI Profile & details for ROSHOLT COUNTRY INN

NPI Number 1871600759
Legal business name
LBN
ROSHOLT COUNTRY INN
Authorized official CHARLES VANDEPUTTE - (OWNER - OPERATOR)
Entity Organization
Organization subpart No
Enumeration date 08/24/2006
Last updated 08/24/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • SD License #: 53737
  • SD Medicaid: 9570820

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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