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GOLDEN PRAIRIE MANOR
NPI 1083813794
Assisted Living Facility in Winner, SD

Active since July 12, 2007CLIA 43D1034769 · Waiver
1145 GOLDEN PRAIRIE DR, #400, WINNER, SD 57580(605) 842-0508(605) 842-2803 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Golden Prairie Manor NPPES

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

GOLDEN PRAIRIE MANOR (NPI 1083813794) is a healthcare organization registered as an assisted living facility in Winner, South Dakota and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Shawna Kaiser, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083813794
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWINNER RETIREMENT CENTER L.L.C.
Location Address1145 GOLDEN PRAIRIE DR, #400Winner, SD 57580-2171
Mailing Address1145 Golden Prairie Dr, #400Winner, SD 57580-2171 · (605) 842-0508 · Fax (605) 842-2803
Phone(605) 842-0508
Fax(605) 842-2803
Organization SubpartNo
Authorized OfficialShawna KaiserAdministrator · (605) 842-0508
Enumeration DateJuly 12, 2007
✔ NPI 1083813794 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 · 11087
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.
1145 GOLDEN PRAIRIE DR, Winner, SD 57580
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Other Names 1

Doing Business AsGolden Prairie Manor

Other Identifiers 1

Medicaid9572610SD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D1034769

Golden Prairie Manor · Winner, SD
Active · expires Dec 12, 2026
CLIA Number43D1034769
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorLori Mccarty
Laboratory Phone(605) 842-0508
Laboratory LocationGolden Prairie Manor1145 Golden Prairie Drive, Winner, SD 57580
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Winner Retirement Center L.L.C.'s NPI number?

The NPI number for Winner Retirement Center L.L.C. is 1083813794. It was assigned to this organization in the NPPES registry on July 12, 2007. The provider is doing business as Golden Prairie Manor.

Where is Winner Retirement Center L.L.C. located?

Winner Retirement Center L.L.C. is located at 1145 Golden Prairie Dr #400, Winner, SD 57580. The listed phone number is (605) 842-0508.

What is Winner Retirement Center L.L.C.'s specialty?

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

Does Winner Retirement Center L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D1034769) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Winner Retirement Center L.L.C. was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.