GOLDEN VENTURES LLC NPI 1982803730

NPI Information

NPI: 1982803730
Provider Name: GOLDEN VENTURES LLC

Doing Business As: KELLY'S RETIREMENT HOMES

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
615 S JEFFERSON AVE
PIERRE, SD
ZIP 57501
Phone: (605) 224-5261
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GOLDEN VENTURES LLC is an assisted living facility in Pierre, 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. GOLDEN VENTURES LLC NPI is 1982803730. The provider is registered as an organization entity type.
The provider Is Doing Business As Kelly's Retirement Homes.

The provider's business location address is:

615 S JEFFERSON AVE
PIERRE, SD
ZIP 57501-118
Phone: (605) 224-5261
Fax: (605) 224-0769

The provider's authorized official is Brenda L. Stienblock .
The authorized official title is Administrator and has the following contact phone number (605) 224-5261.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 7/12/2007.

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
1	310400000X	Assisted Living Facility		10728	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	9570680	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

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