Watertown Sd Skilled Nursing Facility LLC
NPI 1366008427 · Skilled Nursing Facility · Watertown, SD
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Watertown Sd Skilled Nursing Facility LLC is a Skilled Nursing Facility organization in Watertown, SD (NPI 1366008427).
Provider details
- NPI number
- 1366008427
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Menachem Shabat, Coo/Principal(847) 679-9797
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Avantara Watertown
Registry dates
- Enumerated
- 2019-05-14
- Last updated
- 2019-05-14
Frequently asked questions
- What is Watertown Sd Skilled Nursing Facility LLC's NPI number?
- Watertown Sd Skilled Nursing Facility LLC's National Provider Identifier (NPI) is 1366008427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Watertown Sd Skilled Nursing Facility LLC?
- Watertown Sd Skilled Nursing Facility LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Watertown Sd Skilled Nursing Facility LLC located?
- Watertown Sd Skilled Nursing Facility LLC's practice location on file with NPPES is 415 4th Ave Ne, Watertown, SD 57201-2614.
- What is Watertown Sd Skilled Nursing Facility LLC's phone number?
- The practice phone number listed in the NPPES registry for Watertown Sd Skilled Nursing Facility LLC is (605) 886-8431.
- Does Watertown Sd Skilled Nursing Facility LLC accept Medicare?
- Watertown Sd Skilled Nursing Facility LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Watertown Sd Skilled Nursing Facility LLC?
- The authorized official listed on Watertown Sd Skilled Nursing Facility LLC's NPPES record is Menachem Shabat, Coo/Principal. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Watertown Sd Skilled Nursing Facility LLC's NPI active?
- Yes — Watertown Sd Skilled Nursing Facility LLC's NPI (1366008427) is active in the NPPES registry as of the last update on 2019-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.