NPIMap

Organization Active NPI

Presbyterian Retirement Village of Rapid City, Inc.

  • Skilled Nursing Facility
  • Rapid City, SD
National Provider Identifier
1851361828
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10721 Issued in SD
Legal business name
PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC.
Doing business as
Westhills Village Healthcare
Practice address
255 Texas St
Rapid City, SD 57701-7362
Phone
(605) 342-0255
Fax
(605) 394-3605
NPI assigned
Jan 24, 2006
Organization subpart
Yes
Parent organization
PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Daryl Reinicke
Title
Ceo
Phone
(605) 342-0255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10721 SD Primary

Addresses

Primary practice location

255 Texas St
Rapid City, SD 57701-7362

Mailing address

255 Texas St
Rapid City, SD 57701-7362
Phone (605) 342-0255

Other names 1

  • Westhills Village Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100630000181 SD Part A Provider - Skilled Nursing Facility 3476618539 Practice locations: Rapid City, SD

Skilled nursing facility certification: CCN 435033

Legal name
PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC.
Doing business as
WESTHILLS VILLAGE HEALTH CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Mar 1, 1985
Last certification
Nov 21, 2024
Beds
44
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Incorporated
May 14, 1979 in SD
Enrollment address
255 Texas St
Rapid City, SD 57701-7319
Nursing home name
WESTHILLS VILLAGE HEALTH CARE FACILITY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Westhills Village Health Care FacilityCCN 435033 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Other
Certified
Mar 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4441.1 residents per day on average
Penalties (3 years)
1Fines totaling $8,788

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Retirement Village of Rapid City Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark Harlow Individual Managing Control - Governing BodyBoard Member Apr 28, 2015
Presbyterian Retirement Village of Rapid City, Inc. Organization, Rapid City, SD Non-profit 5% Or Greater Direct Ownership Interest May 14, 1979 100%
Adp of the SNF May 14, 1979
Andrea Knoll Individual Operational/Managerial Control Oct 2, 2019
Deborah K Mudge Individual Managing Control - Governing BodyBoard Member Dec 10, 2009
Bradley J Archer Individual Managing Control - Governing BodyBoard Member Jan 1, 2019
Christopher Kilpatrick Individual Managing Control - Governing BodyBoard Member Jan 1, 2022
Molly Moore Individual Managing Control - Governing BodyBoard Member Jan 1, 2022
Maryann Petrotto Individual Operational/Managerial Control Jun 19, 2014
Craig a Pfeifle Individual Managing Control - Governing BodyBoard Member Dec 10, 2009
Douglas K Jackson Individual Managing Control - Governing BodyBoard Member Apr 28, 2015
Helene Duhamel Duffy Individual Managing Control - Governing BodyBoard Member Jan 1, 2019
Kenneth C Diamond Individual Operational/Managerial Control Oct 1, 2015
Adp of the SNF Nov 7, 2025
Kelsey Bertsch Individual Operational/Managerial Control Apr 4, 2022
Adp of the SNF Nov 7, 2025
Adam Knudson Individual Managing Control - Governing BodyBoard Member Jan 1, 2024
Kassie Shiffermiller Individual Managing Control - Governing BodyBoard Member Jan 1, 2024
Tyler Donohue Individual Corporate OfficerCeo Jun 12, 2023 100%
Michael Pogany Individual Managing Control - Governing BodyBoard Member Jan 1, 2024
Leah Bifulco Individual Corporate OfficerChief Financial Officer Oct 17, 2016
Operational/Managerial Control Oct 17, 2016

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clarkson Health CareRapid City, SD, CCN 435037 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2000

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 18

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1851361828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 TEXAS ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017362",
            "telephone_number": "605-342-0255",
            "fax_number": "605-394-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TEXAS ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017362",
            "telephone_number": "605-342-0255",
            "fax_number": "605-394-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC",
        "enumeration_date": "2006-01-24",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "REINICKE",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-342-0255"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SD",
            "license": "10721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westhills Village Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.