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ESL SD VICTORIAN OPERATIONS LLC NPI 1245724509


NPI Information

NPI: 1245724509
Provider Name: ESL SD VICTORIAN OPERATIONS LLC

Doing Business As: THE VICTORIAN

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1321 COLUMBUS ST
RAPID CITY, SD
ZIP 57701
Phone: (605) 342-1913
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ESL SD VICTORIAN OPERATIONS LLC is an assisted living facility in Rapid City, 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. ESL SD VICTORIAN OPERATIONS LLC NPI is 1245724509. The provider is registered as an organization entity type.
The provider Is Doing Business As The Victorian.

The provider's business location address is:

1321 COLUMBUS ST
RAPID CITY, SD
ZIP 57701-505
Phone: (605) 342-1913
Fax: (605) 348-2078

The provider's authorized official is Brian R Uhlir .
The authorized official title is Cfo and has the following contact phone number (530) 242-8300.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 6/20/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility11035SOUTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1310400000XMEDICAIDSOUTH 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

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