NPIMap

Organization Active NPI

Presbyterian Retirement Village of Rapid City, Inc.

  • Assisted Living Facility
  • Rapid City, SD
National Provider Identifier
1982817045
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
68559 Issued in SD
Legal business name
PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC.
Doing business as
The Courtyard Westhills Village
Practice address
133 Texas St
Rapid City, SD 57701
Phone
(605) 342-6821
Fax
(605) 341-3066
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10753 SD
Assisted Living Facility 310400000X 11045 SD
Assisted Living Facility 310400000X 68559 SD Primary

Addresses

Primary practice location

133 Texas St
Rapid City, SD 57701

Mailing address

255 Texas St
Rapid City, SD 57701
Phone (605) 342-6821

Other identifiers 1

IdentifierTypeStateIssuer
9571490MedicaidSD

Other names 1

  • The Courtyard Westhills Village Doing business as

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.

Locations

133 Texas St
Rapid City, SD 57701
Phone (605) 342-6821

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1982817045",
    "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": "57701",
            "telephone_number": "605-342-6821",
            "fax_number": "605-341-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 TEXAS ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-342-6821",
            "fax_number": "605-341-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2018-07-20",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "10753",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "11045",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "68559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9571490",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Courtyard Westhills Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.