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PINE LANE ESTATES LLC
NPI 1104976356
Assisted Living Facility in Yankton, SD

Active since January 11, 2007
2905 DOUGLAS AVE, YANKTON, SD 57078(605) 665-7255(605) 668-2730 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pine Lane Estates Llc NPPES

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

PINE LANE ESTATES LLC (NPI 1104976356) is a healthcare organization registered as an assisted living facility in Yankton, South Dakota and active in the NPI registry since January 2007. The organization lists Deanna Jo Loecker, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104976356
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePINE LANE ESTATES LLC
Location Address2905 DOUGLAS AVEYankton, SD 57078
Mailing Address2905 Douglas AveYankton, SD 57078 · (605) 665-7255 · Fax (605) 668-2800
Phone(605) 665-7255
Fax(605) 668-2730
Organization SubpartNo
Authorized OfficialDeanna Jo LoeckerAdministrator · (605) 665-7255
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104976356 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 · 46906
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.
2905 DOUGLAS AVE, Yankton, SD 57078
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Other Identifiers 1

Medicaid9571690SD

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YANKTON AW
Assisted Living Facility
2905 DOUGLAS AVE
YANKTON, SD 57078
Cedar County (605) 665-7255

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 Pine Lane Estates LLC's NPI number?

The NPI number for Pine Lane Estates LLC is 1104976356. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Pine Lane Estates LLC located?

Pine Lane Estates LLC is located at 2905 Douglas Ave, Yankton, SD 57078. The listed phone number is (605) 665-7255.

What is Pine Lane Estates LLC'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 Pine Lane Estates LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.