Custer Cares

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CUSTER CARES

Practice address

1065 Montgomery St
Custer, SD 57730-1304

Phone

(605) 351-6434

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Van Voorst

Title

Administrator

Phone

(605) 351-6434

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427833649. Details of each certification follow.

• CCN 435136 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 435136

Legal name

CUSTER CARES

Doing business as

CUSTER CARE AND REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 2025

Last certification

Aug 26, 2025

Beds

43

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

1065 Montgomery St
Custer, SD 57730-1304

Nursing home name

CUSTER CARE AND REHAB CENTER

Listed as

Custer Care and Rehab CenterCCN 435136 · All quality measures

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 1, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

43

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Travis John Ptacek, M.D.

  • Family Medicine Physician
  • Portsmouth, VA
  • NPI 1477819944
  NPD (past)

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1427833649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3019",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577303019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 MONTGOMERY ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577301304",
            "telephone_number": "605-351-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTER CARES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-27",
        "status": "A",
        "authorized_official_last_name": "VAN VOORST",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-351-6434",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sandra Lee Conard, D.C.
• Creative Kids Therapy
• Custer Ambulance Service Inc
• Custer Chiropractic, P.C.
• Custer Community Pharmacy LLC
• Custer School District
• Custer School District 16-1
• Daniel L Custis, DDS

• Skilled Nursing Facility in Custer, SD
• Providers in Custer, SD by specialty
• Skilled Nursing Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.