SAINT CLOUD SD SKILLED NURSING FACILITY LLC (NPI# 1770149833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770149833 |
| Entity Type | Organization |
| Organization Name | SAINT CLOUD SD SKILLED NURSING FACILITY LLC |
| Other Organization Name | AVANTARA SAINT CLOUD |
| Practice Address |
302 Saint Cloud St Rapid City SD 57701-3767 |
| Mailing Address |
3450 Oakton St Skokie IL 60076-2951 |
| Practice Telephone | 6053434738 |
| Practice Fax Number | 6053438284 |
| Mailing Telephone | 8476799797 |
| Mailing Fax Number | 8476791126 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | CHAIM RAJCHENBACH (CEO/PRINCIPAL) |
| Authorized Official Telephone | 8476799797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Avantara Saint Cloud | Doing Business As Name - Organization |
| Street Address |
302 SAINT CLOUD ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376594994 | Ggnsc Rapid City Bella Vista LLC | Skilled Nursing Facility | 302 Saint Cloud St, Rapid City, SD 57701-3767 | 2006-05-16 |
| 1831633601 | Bella Vista Care and Rehabilitation Center LLC | Skilled Nursing Facility | 302 Saint Cloud St, Rapid City, SD 57701-3767 | 2016-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881112290 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 4825 Jericho Way, Rapid City, SD 57702-9694 | 2017-09-06 |
| 1407030398 | Suzette Sterud | Skilled Nursing Facility | 916 Mt. View Rd, Rapid City, SD 57702 | 2007-12-27 |
| 1003867631 | Ggnsc Rapid City Black Hills LLC | Skilled Nursing Facility | 1620 N 7th St, Rapid City, SD 57701-0511 | 2006-05-16 |
| 1376594994 | Ggnsc Rapid City Bella Vista LLC | Skilled Nursing Facility | 302 Saint Cloud St, Rapid City, SD 57701-3767 | 2006-05-16 |
| 1093766792 | Ggnsc Rapid City Meadowbrook Manor LLC | Skilled Nursing Facility | 2500 Arrowhead Dr, Rapid City, SD 57702-4225 | 2006-05-15 |
| 1881645521 | Ggnsc Rapid City II LLC | Skilled Nursing Facility | 916 Mountain View Rd, Rapid City, SD 57702-2521 | 2006-05-15 |
| 1851361828 | Presbyterian Retirement Village of Rapid City, Inc. | Skilled Nursing Facility | 255 Texas St, Rapid City, SD 57701-7362 | 2006-01-24 |
| 1366412348 | Presbyterian Retirement Village of Rapid City, Inc. | Skilled Nursing Facility | 1015 Mountain View Rd, Rapid City, SD 57702-3421 | 2006-01-24 |
| 1750386660 | Rapid City Healthcare, LLC | Skilled Nursing Facility | 2000 Wesleyan Blvd, Rapid City, SD 57702-9340 | 2005-06-16 |
| 1093371155 | Mountain View Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 916 Mountain View Rd, Rapid City, SD 57702-2521 | 2019-05-14 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on SAINT CLOUD SD SKILLED NURSING FACILITY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.