Kismet Elk LLC
Organization Active NPI Skilled Nursing Facility · Elk Point, SD
NPI 1821099102 · NPPES record last updated Jun 29, 2020
Key facts
- NPI
- 1821099102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 10615 (SD)
- Legal business name
- KISMET ELK LLC
- Practice address
- 600 South Franklin St
Elk Point, SD 57025-0486 - Phone
- (605) 356-2622
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
Authorized official
- Name
- Michael L. Moore
- Title
- Chief Financial Officer
- Phone
- (605) 642-7736
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 10615 | SD | Yes |
| Respite Care | 385H00000X |
Addresses
Primary practice location
600 South Franklin St
Elk Point, SD 57025-0486
Mailing address
PO Box 486
600 S. Franklin
Elk Point, SD 57025-0486
Phone (605) 356-2622
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821099102 | Medicaid | SD |
Other names
- Prairie Estates Care Center
Other providers in Elk Point, SD
- Johnson'S Chiropractic Clinic, P.C.
- Marie Kaiser
- Kevin Glenn Wurtz
- Key Rehabilitation, Inc
- Kismet Elk LLC
- Matthew John McDermott
- Traci McDonald
- Peter Edward Murray
- Katherine Susanne Nielson
- Meghan C O'Connell
All providers in Elk Point, SD · Skilled Nursing Facility in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.