Active NPI
Aberdeen Nursing and Rehab Center LLC
- Skilled Nursing Facility
- Aberdeen, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ABERDEEN NURSING AND REHAB CENTER LLC
- Practice address
- 400 8TH Ave NW
Aberdeen, SD 57401-2331 - Phone
- (801) 601-1450
- NPI assigned
- Mar 14, 2018
- Last updated
- Oct 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dustin Monroe
- Title
- General Counsel
- Phone
- (385) 240-6408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
400 8TH Ave NW
Aberdeen, SD 57401-2331
Mailing address
1376 E 3300 S
Salt Lake City, UT 84106-3069
Phone (801) 601-1450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180627001613 | SD | Part A Provider - Skilled Nursing Facility | 1355697772 | Practice locations: Aberdeen, SD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1467955682. Details of each certification follow.
Skilled nursing facility certification: CCN 435004
- Legal name
- ABERDEEN NURSING AND REHAB CENTER LLC
- Doing business as
- PRAIRIE HEIGHTS HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Mar 7, 2024
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Eduro Healthcare, LLC
- Organization structure
- LLC
- Incorporated
- Jan 11, 2018 in SD
- Enrollment address
- 400 8TH Ave NW
Aberdeen, SD 57401-2331 - Nursing home name
- PRAIRIE HEIGHTS HEALTHCARE
- Affiliated entity
- EDURO HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Prairie Heights Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Eduro Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Michael C Bewsey | 5% Or Greater Indirect Ownership Interest | Jul 26, 2018 | 50% |
| Corporate Director | Jul 26, 2018 | 100% | |
| Indirect Ownership Interest | Jul 26, 2018 | 100% | |
| Bewsey Enterprises LLC | Indirect Ownership Interest | Jul 26, 2018 | 100% |
| Jen Powell | Operational/Managerial Control | Jul 26, 2018 | |
| Adp of the SNF | Jul 26, 2018 | ||
| Ecapital Healthcare Corp | 5% Or Greater Security Interest | Nov 21, 2018 | |
| Adp of the SNF | Aug 28, 2025 | ||
| Darcy Albrecht | Operational/Managerial Control | Jul 26, 2018 | |
| Adp of the SNF | Jul 26, 2018 | ||
| Christopher M Thompson | Corporate Officer | Jul 26, 2018 | |
| Operational/Managerial Control | Jul 26, 2018 | ||
| Managing Control - Governing Body | Jul 26, 2018 | ||
| Adp of the SNF | Jul 26, 2018 | ||
| Ctr Partnership LP | Adp of the SNF | Aug 28, 2025 | |
| Caretrust GP LLC | Adp of the SNF | Jul 26, 2018 | |
| Mike Hansen | Operational/Managerial Control | Jul 26, 2018 | |
| Adp of the SNF | Jul 26, 2018 | ||
| Caretrust Reit Inc | Adp of the SNF | Jul 26, 2018 | |
| Steven T Redmond | Operational/Managerial Control | Jul 26, 2018 | |
| Adp of the SNF | Jul 26, 2018 | ||
| Heidi Williams | Managing Control - Governing Body | Jul 26, 2018 | |
| Adp of the SNF | Jul 26, 2018 | ||
| Dustin Monroe | Corporate Officer | Jul 26, 2018 | |
| Adp of the SNF | Jul 26, 2018 | ||
| Karen Heier | Operational/Managerial Control | Jul 26, 2018 | |
| Adp of the SNF | Jul 26, 2018 | ||
| Eduro Healthcare LLC | Operational/Managerial Control | Jul 26, 2018 | 100% |
| Adp of the SNF | Oct 22, 2025 | ||
| Direct Ownership Interest | Jul 26, 2018 | 100% | |
| WSRP, LLC | Operational/Managerial Control | Jul 26, 2018 | |
| Adp of the SNF | Oct 3, 2025 | ||
| Forvis Mazars LLP | Operational/Managerial Control | Jul 26, 2018 | |
| Adp of the SNF | Oct 3, 2025 | ||
| Nellie Hatfield | Adp of the SNF | Aug 30, 2021 | |
| Allred Jackson, P.C. | Operational/Managerial Control | Aug 1, 2022 | |
| Adp of the SNF | Jul 15, 2025 | ||
| James Marsh | Corporate Officer | Jul 26, 2018 | |
| Operational/Managerial Control | Jul 26, 2018 | ||
| Adp of the SNF | Jul 26, 2018 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Aberdeen, SD
- NPI 1548226061
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 97
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Belle Fourche, SD
- NPI 1841761210
Eduro Healthcare LLC
-
- Skilled Nursing Facility
- Spearfish, SD
- NPI 1417420555
Eduro Healthcare LLC
-
dba The Cedars
- Skilled Nursing Facility
- Leo, IN
- NPI 1023003118
Forvis Mazars LLP
-
dba Fort Wayne Health Campus
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1073554200
Forvis Mazars LLP
-
dba Lutheran Life Villages
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1134493281
Forvis Mazars LLP
-
dba Chalet Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1144253451
Forvis Mazars LLP
-
dba Lutheran Life Villages (Kendallville)
- Skilled Nursing Facility
- Kendallville, IN
- NPI 1154362390
Forvis Mazars LLP
-
dba adams Woodcrest
- Nursing Facility/Intermediate Care Facility
- Decatur, IN
- NPI 1356476154
Forvis Mazars LLP
-
dba Northwest Manor Health Care Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1376531681
Forvis Mazars LLP
-
dba Christian Care Retirement Community
- Skilled Nursing Facility
- Bluffton, IN
- NPI 1447231832
Forvis Mazars LLP
-
dba adams Heritage
- Nursing Facility/Intermediate Care Facility
- Monroeville, IN
- NPI 1760519268
Forvis Mazars LLP
-
dba Heritage Pointe of Fort Wayne
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1801205240
Forvis Mazars LLP
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Aberdeen, SD
- NPI 1548226061
Affiliated clinicians 16
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1467955682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1376 E 3300 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841063069",
"telephone_number": "801-601-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 8TH AVE NW",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574012331",
"telephone_number": "801-601-1450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABERDEEN NURSING AND REHAB CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-14",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "MONROE",
"authorized_official_first_name": "DUSTIN",
"authorized_official_title_or_position": "GENERAL COUNSEL",
"authorized_official_telephone_number": "385-240-6408"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, SD
- Aberdeen Healthcare Center Inc
- Aberdeen Hearing Clinic LLC
- Aberdeen Medical Center Pharmacy, Inc (State Street Pharmacy)
- Aberdeen Medical Center Pharmacy, Inc (Plaza Pharmacy)
- Aberdeen Medical Center Pharmacy, Inc (DT Pharmacy)
- Aberdeen School District
- Aberdeen Surgical Associates LLP
- Aberdeen Transfer Service
- Abigail Carol Berndt
- Adjustment Training Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.