ABBOTT HOUSE, INC. (NPI# 1053526673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053526673 |
| Entity Type | Organization |
| Organization Name | ABBOTT HOUSE, INC. |
| Practice Address |
909 Court Merrill St Mitchell SD 57301-4362 |
| Practice Telephone | 6059962486 |
| Practice Fax Number | 6059964585 |
| Mailing Telephone | 6059962486 |
| Mailing Fax Number | 6059964585 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2011-04-21 |
| Authorized Official Name | MRS. KIMBERLY MOORE (BUSINESS MGR) |
| Authorized Official Telephone | 6059962486 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5000400 | 05 | |
| SD | 5160000 | 05 | |
| SD | 5169080 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609915206 | Abbott House, Inc. | Case Management | 100 N Broadway, Irvington, NY 10533-1254 | 2007-02-06 |
| Street Address |
909 COURT MERRILL ST |
| City | MITCHELL |
| State | SD |
| Zip Code | 57301-4362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721388 | Dakota Counseling Institute | Social Worker | 910 W Havens, Mitchell, SD 57301 | 2020-05-08 |
| 1215588512 | Carolyn Marie Klinkhammer | Registered Nurse | 525 North Foster - Avera Queen of Peace Hospital, Mitchell, SD 57301 | 2019-09-27 |
| 1720596893 | Brian Bannwarth | Pharmacist | 25147 Campground Road, Mitchell, SD 57301 | 2018-01-11 |
| 1336664135 | Haley Long | Speech-Language Pathologist | 200 East Havens, Mitchell, SD 57301 | 2017-08-14 |
| 1770004996 | Edgewood Mitchell LLC | Assisted Living Facility | 501 East Spruce Street, Mitchell, SD 57301 | 2017-06-28 |
| 1467831685 | Amanda Louise Johnson | Physical Therapist | 910 S Edgerton, Mitchell, SD 57301 | 2015-05-20 |
| 1922432830 | Melissa Jill Maier | Dentist | 240 E 23 Ave, Mitchell, SD 57301 | 2013-08-27 |
| 1356626972 | Lewis Family Drug, LLC | Pharmacy | 1507 N Main St, Mitchell, SD 57301 | 2011-10-14 |
| 1184945958 | Kimberly L Lienemann | Counselor | 403 N Lawler St, Mitchell, SD 57301 | 2010-06-16 |
| 1134365554 | Gronsten-maier Dental Prof. LLC | Dentist | 240 E. 23rd Avenue, Mitchell, SD 57301 | 2009-01-07 |
| Find all providers in zip 57301 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245661602 | Sequel Youth Services of South Dakota, LLC | Psychiatric Residential Treatment Facility | 46560 264th St, Sioux Falls, SD 57107-6903 | 2013-12-10 |
| 1164740734 | Youth Service International Inc. | Psychiatric Residential Treatment Facility | 709 6th Street, Springfield, SD 57062 | 2010-05-06 |
| 1255518130 | Lutheran Social Services of Sd | Psychiatric Residential Treatment Facility | 47256 297th St, Hwy 46, Box 232, Beresford, SD 57004-0232 | 2008-01-23 |
| 1356527402 | Lutheran Social Services of Sd | Psychiatric Residential Treatment Facility | 2519 Windmill Dr, Spearfish, SD 57783-9588 | 2008-01-18 |
| 1366628414 | Lutheran Social Services of Sd | Psychiatric Residential Treatment Facility | 621 E Presentation St, Sioux Falls, SD 57104-0820 | 2008-01-18 |
| 1093902132 | Our Home Inc | Psychiatric Residential Treatment Facility | 40354 210th St, Huron, SD 57350-7928 | 2007-10-03 |
| 1811017155 | Childrens Home Society of South Dakota | Psychiatric Residential Treatment Facility | 801 N Sycamore Ave, Sioux Falls, SD 57110-5746 | 2007-03-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.