PARADISE PINES LLC NPI 1811180565

NPI Information

  • NPI: 1811180565
  • Provider Name: PARADISE PINES LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: MORNINGSTAR ALC
  • CLIA Number: 43D1069313
  • Address: 4110 WINFIELD STREET
    RAPID CITY, SD
    ZIP 57701
  • Phone: (605) 348-2596

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NPI Details

PARADISE PINES 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. PARADISE PINES LLC NPI is 1811180565. The provider is registered as an organization entity type.
The provider Is Doing Business As Morningstar Alc.

The provider's business location address is:

4110 WINFIELD STREET
RAPID CITY, SD
ZIP 57701
Phone: (605) 348-2596
Fax: (605) 342-4119

The provider's authorized official is Janice Kay Zandstra .
The authorized official title is Member For Paradise Pines Llc and has the following contact phone number (605) 342-2385.

The CLIA number assigned to this NPI record is 43D1069313 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2007 and was last updated on 8/24/2007.

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
1310400000XAssisted Living Facility51260SOUTH DAKOTANo
2310400000XAssisted Living Facility47202SOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19571202MEDICAIDSOUTH 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: 11/21/2025

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