The Victorian Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11035 Issued in SD

Legal business name

THE VICTORIAN ASSISTED LIVING HOME

Practice address

1321 Columbus St
Rapid City, SD 57701-2524

Phone

(605) 342-1913

Fax

(605) 348-2870

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lavon Jean Huneke, RN

Title

Manager

Phone

(605) 342-1913

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1629277223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 COLUMBUS ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012524",
            "telephone_number": "605-342-1913",
            "fax_number": "605-348-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 COLUMBUS ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012524",
            "telephone_number": "605-342-1913",
            "fax_number": "605-348-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VICTORIAN ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "HUNEKE",
        "authorized_official_first_name": "LAVON",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "605-342-1913",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "11035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9570740",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Rapid City, SD
• Providers in Rapid City, 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 Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.