Pine Lane Estates LLC

Pine Lane Estates LLC is a healthcare organization registered as Assisted Living Facility in Yankton, SD, holding Type 2 (organization) NPI 1104976356 since 2007. The authorized official on file is Deanna Loecker, Administrator.

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NPI	1104976356
Entity type	Organization (Type 2)
Legal business name	Pine Lane Estates LLC
Practice address	2905 DOUGLAS AVE, Yankton, SD, 57078
Phone	6056657255
Fax	6056682730
Enumeration date	2007-01-11
Last updated in NPPES	2020-08-22

Authorized official

Name	Deanna Loecker
Title	Administrator
Phone	6056657255

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
310400000X	Assisted Living Facility	Primary	46906	SD

Other identifiers

Identifier	Type	State	Issuer
9571690	Medicaid	SD	—

Copy-ready billing details

Provider: Pine Lane Estates LLC
NPI: 1104976356
Taxonomy: 310400000X (Assisted Living Facility)
Address: 2905 DOUGLAS AVE, Yankton, SD, 57078

Providers at this address

NPI	Name	Type	Specialty	Location
1063034015	Yankton Aw	Organization	Assisted Living Facility	Yankton, SD

Verify this record

Cross-check NPI 1104976356 against the authoritative CMS record: view Pine Lane Estates LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Pine Lane Estates LLC located?

The practice location on file with NPPES is in Yankton, SD.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.