ADULT DAY CENTER OF THE BLACK HILLS (NPI# 1689185860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689185860 |
| Entity Type | Organization |
| Organization Name | ADULT DAY CENTER OF THE BLACK HILLS |
| Practice Address |
4110 Winfield Ct Rapid City SD 57701-8306 |
| Practice Telephone | 6054150792 |
| Practice Fax Number | 6053487724 |
| Mailing Telephone | 6057910436 |
| Mailing Fax Number | 6057911106 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | BILLIE JO LEE (BUSINESS MANAGER) |
| Authorized Official Telephone | 6057910436 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | SOUTH DAKOTA SECRETARY OF STATE | DL137092 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADULT DAY CENTER OF THE BLACK HILLS | 4110 Windfield St, Rapid City, SD 57701 |
| Street Address |
4110 WINFIELD CT |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-8306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497009732 | Western Resources for Independent Living | In Home Supportive Care | 4110 Winfield Ct, Rapid City, SD 57701-8306 | 2012-11-08 |
| 1740790765 | Shirley B Allen | Day Training, Developmentally Disabled Services | 4110 Winfield Ct, Rapid City, SD 57701-8306 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992850952 | Black Hills Works Inc | Day Training, Developmentally Disabled Services | 3650 Range Rd, Rapid City, SD 57702-0627 | 2007-01-23 |
| 1740790765 | Shirley B Allen | Day Training, Developmentally Disabled Services | 4110 Winfield Ct, Rapid City, SD 57701-8306 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851543961 | Lifequest | Day Training, Developmentally Disabled Services | 804 N. Mentzer, Mitchell, SD 57301 | 2008-10-21 |
| 1578600417 | Black Hills Special Services Cooperative | Day Training, Developmentally Disabled Services | 2885 Dickson Drive, Sturgis, SD 57785-0218 | 2007-01-31 |
| 1124174651 | Northern Hills Training Center, Inc. | Day Training, Developmentally Disabled Services | 625 Harvard St, Spearfish, SD 57783-1897 | 2007-01-26 |
| 1184779704 | Live Center Inc | Day Training, Developmentally Disabled Services | 407 2nd Ave W, Lemmon, SD 57638-1405 | 2007-01-24 |
| 1932254760 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-01-24 |
| 1982759924 | Sesdac, Inc. | Day Training, Developmentally Disabled Services | 1314 E Cherry St, Vermillion, SD 57069-1606 | 2007-01-23 |
| 1801918420 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-04-04 |
| 1982726501 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-04-04 |
| 1508988130 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-04-04 |
| 1417079047 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-04-04 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on ADULT DAY CENTER OF THE BLACK HILLS.
| 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.