Prairie View Retirement Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10762 Issued in SD

Legal business name

PRAIRIE VIEW RETIREMENT INC.

Practice address

313 S Water St
Kimball, SD 57355-2217

Phone

(605) 778-6711

Fax

(605) 778-6718

NPI assigned

Jan 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Virginia Jean Banek

Title

Owner

Phone

(605) 778-6711

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164570461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S WATER ST",
            "city": "KIMBALL",
            "state": "SD",
            "postal_code": "573552217",
            "telephone_number": "605-778-6711",
            "fax_number": "605-778-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S WATER ST",
            "city": "KIMBALL",
            "state": "SD",
            "postal_code": "573552217",
            "telephone_number": "605-778-6711",
            "fax_number": "605-778-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE VIEW RETIREMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANEK",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-778-6711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "10762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9571480",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A&M Market, Inc
• Carr Chiropractic Clinics PC
• Kimball Ambulance District
• Kimball Retirement Living

• All providers in Kimball, SD
• Assisted Living Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.