Key City Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10692 Issued in SD

Legal business name

KEY CITY ASSISTED LIVING LLC

Practice address

1542 Davenport St
Sturgis, SD 57785-2108

Phone

(605) 347-2770

Fax

(605) 347-2770

NPI assigned

Nov 6, 2015

Organization subpart

No

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

Authorized official

Name

Scott Engel

Title

Owner

Phone

(605) 639-0115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1487027892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577090745",
            "telephone_number": "605-347-2770",
            "fax_number": "605-342-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 DAVENPORT ST",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577852108",
            "telephone_number": "605-347-2770",
            "fax_number": "605-347-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY CITY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-639-0115"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "10692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Wayne Johnson, D.C.
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• Amber Marie Kennedy, D.P.T.
• Gina Faleen Ketelsen
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• David Alan Klopfenstein, MD

• Assisted Living Facility in Sturgis, SD
• Providers in Sturgis, SD by specialty
• Assisted Living Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.