Organization Active NPI

Parkview Assisted Living, Inc

  • Assisted Living Facility
  • Bryant, SD
National Provider Identifier
1730319013
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
41812 Issued in SD
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9572360MedicaidSD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.