Active NPI
Parkview Assisted Living, Inc
- Assisted Living Facility
- Bryant, SD
National Provider Identifier
1730319013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 41812
- Legal business name
- PARKVIEW ASSISTED LIVING, INC
- Practice address
- 410 S Broadway St
Bryant, SD 57221-2055 - Phone
- (605) 628-2155
- Fax
- (605) 628-2095
- NPI assigned
- Jul 21, 2009
- Last updated
- Jul 21, 2009
- 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
- Ms. Lynalle K Rust
- Title
- Administrator
- Phone
- (605) 628-2771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 41812 | SD | Primary |
Addresses
Primary practice location
410 S Broadway St
Bryant, SD 57221-2055
Mailing address
410 S Broadway St
Bryant, SD 57221-2055
Phone (605) 628-2155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9572360 | Medicaid | SD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248134400000",
"number": "1730319013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 S BROADWAY ST",
"city": "BRYANT",
"state": "SD",
"postal_code": "572212055",
"telephone_number": "605-628-2155",
"fax_number": "605-628-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 S BROADWAY ST",
"city": "BRYANT",
"state": "SD",
"postal_code": "572212055",
"telephone_number": "605-628-2155",
"fax_number": "605-628-2095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKVIEW ASSISTED LIVING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-21",
"last_updated": "2009-07-21",
"status": "A",
"authorized_official_last_name": "RUST",
"authorized_official_first_name": "LYNALLE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "605-628-2771",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "SD",
"license": "41812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9572360",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryant, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.