LUTHERAN SOCIAL SERVICES OF SD (NPI# 1366628414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366628414 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF SD |
| Other Organization Name | SUMMIT OAKS CENTER I |
| Practice Address |
621 E Presentation St Sioux Falls SD 57104-0820 |
| Mailing Address |
705 E 41st St Ste 200 Sioux Falls SD 57105-6048 |
| Practice Telephone | 6052212346 |
| Practice Fax Number | 6052212404 |
| Mailing Telephone | 6053570112 |
| Mailing Fax Number | 6053570140 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | STEVE ANDERSON (VICE PRESIDENT, SUPPORT SERVICES) |
| Authorized Official Telephone | 6053570108 |
| Is Organization Subpart | Y |
| Parent Organization Name | LUTHERAN SOCIAL SERVICES OF SD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | R49 | SD | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5169060 | 05 | |
| ND | 55514 | 05 |
| Other Name | Type Code |
|---|---|
| Summit Oaks Center I | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Street Address |
621 E PRESENTATION ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-0820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427210335 | Lutheran Social Services of South Dakota | Residential Treatment Facility, Emotionally Disturbed Children | 621 E Presentation St, Sioux Falls, SD 57104-0820 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| 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 |
| 1811017155 | Childrens Home Society of South Dakota | Psychiatric Residential Treatment Facility | 801 N Sycamore Ave, Sioux Falls, SD 57110-5746 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1093902132 | Our Home Inc | Psychiatric Residential Treatment Facility | 40354 210th St, Huron, SD 57350-7928 | 2007-10-03 |
| City | SIOUX FALLS |
| Zip Code | 57104 |
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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.