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PRAIRIE VILLA
NPI 1508849761
Assisted Living Facility in Armour, SD

Active since November 22, 2005
1309 BRADDOCK ST, ARMOUR, SD 57313(605) 724-2159(605) 724-2310 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prairie Villa NPPES

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

PRAIRIE VILLA (NPI 1508849761) is a healthcare organization registered as an assisted living facility in Armour, South Dakota and active in the NPI registry since November 2005. The organization lists Heath Brouwer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508849761
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRAIRIE VILLA
Location Address1309 BRADDOCK STArmour, SD 57313-2102
Mailing Address1309 Braddock StArmour, SD 57313-2102 · (605) 724-2159 · Fax (605) 724-2310
Phone(605) 724-2159
Fax(605) 724-2310
Organization SubpartNo
Authorized OfficialHeath BrouwerAdministrator · (605) 724-2159
Enumeration DateNovember 22, 2005
Last NPPES UpdateDecember 6, 2011
✔ NPI 1508849761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
1309 BRADDOCK ST, Armour, SD 57313
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Other Identifiers 1

Medicaid9570570SD

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 Prairie Villa's NPI number?

The NPI number for Prairie Villa is 1508849761. It was assigned to this organization in the NPPES registry on November 22, 2005.

Where is Prairie Villa located?

Prairie Villa is located at 1309 Braddock St, Armour, SD 57313. The listed phone number is (605) 724-2159.

What is Prairie Villa'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 Prairie Villa was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.