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

Q: What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1053556068. It was assigned to this organization in the NPPES registry on December 4, 2008. The provider is doing business as Avera Prince Of Peace Assisted Living.

Q: What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

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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

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Other Names 1

Doing Business AsAvera Prince Of Peace Assisted Living

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1053556068. It was assigned to this organization in the NPPES registry on December 4, 2008. The provider is doing business as Avera Prince Of Peace Assisted Living.

Where is Avera Mckennan located?

Avera Mckennan is located at 4504 S Prince Of Peace Pl, Sioux Falls, SD 57103. The listed phone number is (605) 322-5600.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.