RAPID CITY ASSISTED LIVING, LLC (NPI# 1811469687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811469687 |
| Entity Type | Organization |
| Organization Name | RAPID CITY ASSISTED LIVING, LLC |
| Practice Address |
2000 Wesleyan Blvd Rapid City SD 57702-9340 |
| Mailing Address |
4601 Ne 77th Ave Ste 300 Vancouver WA 98662-6736 |
| Practice Telephone | 6053433555 |
| Practice Fax Number | 6057211457 |
| Mailing Telephone | 3608926628 |
| Mailing Fax Number | 3608825793 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | MICHAEL J. MILLER (CFO AND ASSISTANT MANAGER) |
| Authorized Official Telephone | 3608926628 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMPRES SOUTH DAKOTA HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | RAPID CITY ASSISTED LIVING, LLC | 2000 Wesleyan Blvd, Rapid City, SD 57702-9340 |
| Street Address |
2000 WESLEYAN BLVD |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-9340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386660 | Rapid City Healthcare, LLC | Skilled Nursing Facility | 2000 Wesleyan Blvd, Rapid City, SD 57702-9340 | 2005-06-16 |
| 1770103970 | Megan Prpich | Occupational Therapy Assistant | 2000 Wesleyan Blvd, Rapid City, SD 57702-9340 | 2020-04-17 |
| 1114576949 | Tial Ann Donovan | Physical Therapist | 2000 Wesleyan Blvd, Rapid City, SD 57702-9340 | 2019-09-04 |
| 1558833426 | Empres At Rapid City, LLC | Skilled Nursing Facility | 2000 Wesleyan Blvd, Rapid City, SD 57702-9340 | 2018-12-17 |
| 1932616505 | Heather Dawne Lenox | Physical Medicine & Rehabilitation | 2000 Wesleyan Blvd, Rapid City, SD 57702-9340 | 2018-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1760835052 | Rclalc,llc | Assisted Living Facility | 409 E Fairlane Dr, Rapid City, SD 57701-7207 | 2016-07-21 |
| 1740438670 | Good Samaritan Society-echo Ridge | Assisted Living Facility | 931 Fox Run Dr, Rapid City, SD 57701-2386 | 2008-09-04 |
| 1811180565 | Paradise Pines LLC | Assisted Living Facility | 4110 Winfield Street, Rapid City, SD 57701 | 2007-08-24 |
| 1174715023 | Theres A Hart Inc. | Assisted Living Facility | 2303 Michigan Ave, Rapid City, SD 57701-5655 | 2007-08-14 |
| 1629277223 | The Victorian Assisted Living Home | Assisted Living Facility | 1321 Columbus St, Rapid City, SD 57701-2524 | 2007-07-13 |
| 1982817045 | Presbyterian Retirement Village of Rapid City, Inc. | Assisted Living Facility | 133 Texas St, Rapid City, SD 57701 | 2007-05-07 |
| 1043422918 | Regional Health Network Inc | Assisted Living Facility | 409 E Fairlane Drive, Rapid City, SD 57701 | 2007-05-04 |
| 1336287911 | Pinehaven, Inc | Assisted Living Facility | 23776 Pine Haven Dr, Rapid City, SD 57702-7407 | 2007-02-03 |
| 1245724509 | Esl Sd Victorian Operations LLC | Assisted Living Facility | 1321 Columbus St, Rapid City, SD 57701-2505 | 2018-06-20 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on RAPID CITY ASSISTED LIVING, 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.