SOUTH PARK ASSISTED LIVING, INC
NPI 1366609067
Assisted Living Facility in Bryant, SD

Active since May 20, 2008
410 S BROADWAY ST, BRYANT, SD 57221(605) 628-2155 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Park Assisted Living, Inc NPPES

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

SOUTH PARK ASSISTED LIVING, INC (NPI 1366609067) is a healthcare organization registered as an assisted living facility in Bryant, South Dakota and active in the NPI registry since May 2008. The organization lists Lynalle K Rust, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366609067
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTH PARK ASSISTED LIVING, INC
Location Address410 S BROADWAY STBryant, SD 57221-2055
Mailing Address410 S Broadway StBryant, SD 57221-2055 · (605) 628-2155 · Fax (605) 628-2095
Organization SubpartNo
Authorized OfficialLynalle K RustAdministrator · (605) 628-2155
Enumeration DateMay 20, 2008
NPI 1366609067 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 · 41812
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.

410 S BROADWAY ST, Bryant, SD 57221

Other Identifiers 1

Medicaid9572360SD

Other Providers at the Same Location NPPES 2

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

Assisted Living Facility
410 S BROADWAY ST
BRYANT, SD 57221
Assisted Living Facility
410 S BROADWAY ST
BRYANT, SD 57221

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 South Park Assisted Living, Inc's NPI number?

The NPI number for South Park Assisted Living, Inc is 1366609067. It was assigned to this organization in the NPPES registry on May 20, 2008.

Where is South Park Assisted Living, Inc located?

South Park Assisted Living, Inc is located at 410 S Broadway St, Bryant, SD 57221. The listed phone number is (605) 628-2155.

What is South Park Assisted Living, Inc'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 South Park Assisted Living, Inc was last updated on May 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.