SOUTH DAKOTA ACHIEVE (NPI# 1114490133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114490133 |
| Entity Type | Organization |
| Organization Name | SOUTH DAKOTA ACHIEVE |
| Other Organization Name | LIFESCAPE |
| Practice Address |
4100 S Western Ave Sioux Falls SD 57105-6620 |
| Practice Telephone | 6054449900 |
| Practice Fax Number | 6054449901 |
| Mailing Telephone | 6054449900 |
| Mailing Fax Number | 6054449901 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | ANNE MCFARLAND (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6054449500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Other Name | Type Code |
|---|---|
| LifeScape | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376675785 | South Dakota Achieve | Clinic/Center | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2007-03-12 |
| 1346769361 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2017-09-11 |
| 1528515368 | South Dakota Achieve | Case Management | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2016-09-09 |
| 1003040122 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2009-05-04 |
| 1548413735 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2008-10-31 |
| 1457504649 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2008-10-31 |
| Street Address |
4100 S WESTERN AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-6620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376675785 | South Dakota Achieve | Clinic/Center | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2007-03-12 |
| 1346769361 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2017-09-11 |
| 1528515368 | South Dakota Achieve | Case Management | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2016-09-09 |
| 1154707149 | Lifescape | Case Management | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2015-08-03 |
| 1003040122 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2009-05-04 |
| 1548413735 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2008-10-31 |
| 1457504649 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2008-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053545715 | Volunteers of America, Dakotas | Case Manager/Care Coordinator | 1309 W 51st St, Sioux Falls, SD 57105-6659 | 2009-05-11 |
| 1770754814 | Chad L Hindberg | Case Manager/Care Coordinator | 811 E 10th St Dept 23, Sioux Falls, SD 57103-1650 | 2008-03-17 |
| 1730200916 | Connie Marie Lamb | Case Manager/Care Coordinator | 908 N West Ave, Sioux Falls, SD 57104-5722 | 2007-04-03 |
| 1285776211 | Kathy Jo Julius | Case Manager/Care Coordinator | 908 N. West Avenue, Volunteers of America-dakotas, Sioux Falls, SD 57104-5722 | 2007-02-13 |
| 1346769361 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2017-09-11 |
| 1720463250 | Volunteers of America, Dakotas | Case Manager/Care Coordinator | 1309 W 51st St, Sioux Falls, SD 57105-6659 | 2015-07-27 |
| 1699159145 | Edie Kavanagh | Case Manager/Care Coordinator | 908 N West Ave, Volunteers of America - Dakotas, Sioux Falls, SD 57104-5722 | 2015-07-15 |
| 1104249705 | Volunteers of America, Dakotas | Case Manager/Care Coordinator | 908 N West Ave, Sioux Falls, SD 57104-5722 | 2014-02-03 |
| 1073935094 | James Kiley | Case Manager/Care Coordinator | 908 N West Ave, Sioux Falls, SD 57104-5722 | 2014-01-10 |
| 1821372889 | Volunteers of America, Dakotas | Case Manager/Care Coordinator | 908 N West Ave, Sioux Falls, SD 57104-5722 | 2011-10-07 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on SOUTH DAKOTA ACHIEVE.
| 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.