Healthcare Provider Details

I. General information

NPI: 1437693579
Provider Name (Legal Business Name): PIERRE CARE AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2016
Last Update Date: 07/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 E PARK ST
PIERRE SD
57501-4154
US

IV. Provider business mailing address

950 E PARK ST
PIERRE SD
57501-4154
US

V. Phone/Fax

Practice location:
  • Phone: 605-224-8628
  • Fax: 605-224-6948
Mailing address:
  • Phone: 605-224-8628
  • Fax: 605-224-6948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier435047
Identifier TypeOTHER
Identifier StateCA
Identifier IssuerPTAN

VIII. Authorized Official

Name: JOSEPH SCHWARTZ
Title or Position: MANAGER
Credential:
Phone: 201-635-1195