Heartland Senior Living-Rushmore, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HEARTLAND SENIOR LIVING-RUSHMORE, LLC

Practice address

409 E Fairlane Dr
Rapid City, SD 57701-7207

Phone

(605) 399-1551

NPI assigned

Jul 15, 2024

Organization subpart

No

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

Authorized official

Name

Jesika Lyn Floyd

Title

Owner

Phone

(605) 200-9110

Specialties & licenses 1

Addresses

Other names 1

• Heartland Senior Living-Rushmore, LLC Former legal business name

Locations

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1225875339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 KNOLLWOOD DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010644",
            "telephone_number": "605-721-0269",
            "fax_number": "605-716-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E FAIRLANE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017207",
            "telephone_number": "605-399-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND SENIOR LIVING-RUSHMORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "JESIKA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-200-9110"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Senior Living-Rushmore, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.