ELLEN STEPHEN HOSPICE AND HOMECARE (NPI# 1699759001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699759001 |
| Entity Type | Organization |
| Organization Name | ELLEN STEPHEN HOSPICE AND HOMECARE |
| Practice Address |
1 Main Kyle SD 57752 |
| Mailing Address |
Po Box 488 Kyle SD 57752-0488 |
| Practice Telephone | 6054551217 |
| Practice Fax Number | 6054551218 |
| Mailing Telephone | 6054551217 |
| Mailing Fax Number | 6054551218 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRUCE ALAN WILLIAMS (DIRECTOR/RN) |
| Authorized Official Telephone | 6054551217 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
========= | SD | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0171420 | 05 |
| Street Address |
1 MAIN |
| City | KYLE |
| State | SD |
| Zip Code | 57752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504188 | Adam O Zayed | Pharmacist | 1000 Health Ctr Rd, Kyle, Sd 57752, Kyle, SD 57752 | 2020-07-01 |
| 1538534052 | Emmaline Elk | Registered Nurse | 100 Health Center Road, Kyle, SD 57752 | 2015-12-09 |
| 1841508074 | Oglala Lakota College- Head Start/ Early Head Start Program | Local Education Agency (LEA) | 490 Piya Wiconi Road, Kyle, SD 57752 | 2010-09-22 |
| 1629227202 | Kyle Health Center | Clinic/Center | 1000 Health Center Rd., Kyle, SD 57752 | 2008-09-18 |
| 1972720829 | James Edward Mcconkey | Pharmacist | 1000 Health Care Drive, Kyle, SD 57752 | 2007-04-20 |
| 1720117740 | Kyle Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1000 Health Center Circle, Kyle, SD 57752 | 2007-03-05 |
| 1427165836 | Diane M Reeves | Pharmacist | 1000 Health Service Dr., Kyle I.h.s. Out Patient Clinic, Kyle, SD 57752 | 2006-08-23 |
| 1548210131 | Gregory J Flaitz | Optometrist | 1000 Health Center Drive, Kyle Health Center Ihs, Kyle, SD 57752 | 2006-05-12 |
| 1326016874 | Barbara Jeanne Fuller | Physician Assistant | 1000 Health Cntr Dr, Kyle Health Center, Kyle, SD 57752 | 2006-03-10 |
| 1043219587 | William Robert Wagner | Social Worker | 1000 Health Center Road, Kyle Health Center / Dhhs/ihs, Kyle, SD 57752 | 2005-07-18 |
| Find all providers in zip 57752 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841601176 | Nancy Benter | Registered Nurse | 145 W 5 St, Burke, SD 57523-0147 | 2014-05-08 |
| 1912317553 | Dulce Lorraine Frank | Registered Nurse | 402 Franklin St, Burke, SD 57523-2032 | 2014-05-05 |
| 1144544800 | Penelyn Darcie Tilton | Registered Nurse | 26176 396th Ave, Mount Vernon, SD 57363-5609 | 2010-03-23 |
| 1033372420 | Jean M. Tjaden | Registered Nurse | 2501 W 22nd St # 114, Sioux Falls, SD 57105-1305 | 2008-07-07 |
| 1407081417 | Georgia Green | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2009-05-19 |
| 1881857704 | Mary Lou Morrow | Registered Nurse | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2008-07-10 |
| 1174786560 | Traci M Kistler | Registered Nurse | 2501 W 22nd St, Routing Number 114, Sioux Falls, SD 57105-1305 | 2008-07-07 |
Please comment or provide details below to improve the information on ELLEN STEPHEN HOSPICE AND HOMECARE.
| 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.