National Provider Identifier Database

PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY INC
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

PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC.
133 TEXAS ST
RAPID CITY, SD57701
Phone: 605-342-6821
Fax: 605-341-3066
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC.

NPI Number 1982817045
Legal business name
LBN
PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC.
Authorized official DARYL REINICKE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/07/2007
Last updated 07/20/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • SD License #: 10753
  • SD License #: 11045
  • SD License #: 68559
  • SD Medicaid: 9571490

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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