PINE LANE ESTATES LLC NPI 1104976356

NPI Information

NPI: 1104976356
Provider Name: PINE LANE ESTATES LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2905 DOUGLAS AVE
YANKTON, SD
ZIP 57078
Phone: (605) 665-7255
Get Directions

PINE LANE ESTATES LLC is an assisted living facility in Yankton, SD. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PINE LANE ESTATES LLC NPI is 1104976356. The provider is registered as an organization entity type.

The provider's business location address is:

2905 DOUGLAS AVE
YANKTON, SD
ZIP 57078
Phone: (605) 665-7255
Fax: (605) 668-2730

The provider's authorized official is Deanna Jo Loecker .
The authorized official title is Administrator and has the following contact phone number (605) 665-7255.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		46906	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9571690	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »