1. Home
  2. Directory
  3. South Dakota
  4. Sioux Falls
  5. Assisted Living Facility
  6. NPI Profile

AVERA PRINCE OF PEACE ASSISTED LIVING
NPI 1053556068
Assisted Living Facility in Sioux Falls, SD

Active since December 04, 2008
4504 S PRINCE OF PEACE PL, SIOUX FALLS, SD 57103(605) 322-5600 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Avera Prince Of Peace Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA PRINCE OF PEACE ASSISTED LIVING (NPI 1053556068) is a healthcare organization registered as an assisted living facility in Sioux Falls, South Dakota and active in the NPI registry since December 2008. The organization lists Ronald J. Place, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1053556068
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAVERA MCKENNAN
Location Address4504 S PRINCE OF PEACE PLSioux Falls, SD 57103-5865
Mailing Address4504 S Prince Of Peace PlSioux Falls, SD 57103-5865 · (605) 322-6400 · Fax (605) 322-6499
Phone(605) 322-5600
Organization SubpartNo
Authorized OfficialRonald J. PlacePresident/ceo · (605) 322-7903
Enumeration DateDecember 4, 2008
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1053556068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in SD · 46761
Definition

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.

4504 S PRINCE OF PEACE PL, Sioux Falls, SD 57103
Open in Google Maps ↗

Other Names 1

Doing Business AsAvera Prince Of Peace Assisted Living

Frequently Asked Questions

What is AVERA MCKENNAN's NPI number?

The NPI number assigned to this healthcare provider is 1053556068, enumerated as an "organization" on December 04, 2008.

Where is the provider located?

The provider is located at 4504 S PRINCE OF PEACE PL SIOUX FALLS, SD 57103 and the phone number is (605) 322-5600.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.