Organization Active NPI

Prairie Hills Care and Rehabilitation Center LLC

Doing business as Prairie Hills Care and Rehabilitation Center

  • Skilled Nursing Facility
  • Rapid City, SD
National Provider Identifier
1548704679
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PRAIRIE HILLS CARE AND REHABILITATION CENTER LLC
Doing business as
Prairie Hills Care and Rehabilitation Center
Practice address
916 Mountain View Rd
Rapid City, SD 57702-2521
Phone
(605) 343-8577
Fax
(605) 343-0071
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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

Authorized official

Name
Joseph Schwartz
Title
Manager
Phone
(201) 635-1195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

916 Mountain View Rd
Rapid City, SD 57702-2521

Mailing address

916 Mountain View Rd
Rapid City, SD 57702-2521
Phone (605) 343-8577

Other identifiers 1

IdentifierTypeStateIssuer
435040OtherCAPTAN

Other names 1

  • Prairie Hills Care and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

916 Mountain View Rd
Rapid City, SD 57702
Phone (605) 343-4958

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1548704679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 MOUNTAIN VIEW RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022521",
            "telephone_number": "605-343-8577",
            "fax_number": "605-343-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 MOUNTAIN VIEW RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022521",
            "telephone_number": "605-343-8577",
            "fax_number": "605-343-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE HILLS CARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-635-1195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "435040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Hills Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.