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GOLDEN RIDGE VENTURES LLC
NPI 1861910960
Assisted Living Facility in Lead, SD

Active since September 08, 2017
200 MONTANA AVE, LEAD, SD 57754(605) 722-6380(918) 960-9856 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Assisted Living Facility

About GOLDEN RIDGE VENTURES LLC

This page provides the complete NPI Profile along with additional information for Golden Ridge Ventures Llc, a provider established in Lead, South Dakota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1861910960 assigned on September 2017. The practitioner's primary taxonomy code is 310400000X with license number 41975 (SD). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Doug Dernier (Owner)

NPI
1861910960 Verify this NPI
Provider Name
GOLDEN RIDGE VENTURES LLC
Entity Type
Organization
Location Address
200 MONTANA AVE LEAD, SD 57754
Location Phone
(605) 722-6380
Location Fax
(918) 960-9856
Mailing Address
PO BOX 745 RAPID CITY, SD 57709
Mailing Phone
(660) 281-3180
Mailing Fax
(918) 960-9856
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2017
Last Update Date
09-08-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
41975
License State
SD
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DOUG DERNIER

Authorized Official Title
OWNER
Authorized Official Phone
(660) 281-3180

Reviews for GOLDEN RIDGE VENTURES LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

REGIONAL HEALTH NETWORK INC
Assisted Living Facility
200 MONTANA AVE
LEAD, SD 57754
Lawrence County (605) 722-6380
GOLDEN RIDGE ASSITED LIVING
Custodial Care Facility (Adult Care Home)
200 MONTANA AVE
LEAD, SD 57754
Lawrence County (605) 639-0115

Frequently Asked Questions

What is GOLDEN RIDGE VENTURES LLC's NPI number?

The NPI number assigned to this healthcare provider is 1861910960, enumerated as an "organization" on September 08, 2017.

Where is the provider located?

The provider is located at 200 MONTANA AVE LEAD, SD 57754 and the phone number is (605) 722-6380.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.