CONVENIENCE HOME HEALTH-AIDE (NPI# 1770968554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770968554 |
| Entity Type | Organization |
| Organization Name | CONVENIENCE HOME HEALTH-AIDE |
| Practice Address |
809 N West Ave Apt 305 Sioux Falls SD 57104-5740 |
| Practice Telephone | 6052515174 |
| Mailing Telephone | 6052515174 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |
| Authorized Official Name | MR. HUSSEIN MUHUMED GUDAL (MANAGER) |
| Authorized Official Telephone | 6052515174 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
809 N WEST AVE APT 305 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-5740 |
| 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 | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578980264 | Vicki Kennedy | Custodial Care Facility | 808 E 3rd St, Dell Rapids, SD 57022-2008 | 2014-03-20 |
| 1346495017 | Wisdom In Age LLC | Custodial Care Facility | 3704 W Main St, Rapid City, SD 57702-2139 | 2008-11-23 |
| 1841511904 | Avera St Marys | Custodial Care Facility | 801 E Sioux Ave, Pierre, SD 57501 | 2010-06-11 |
| 1982824439 | Health Management Services | Custodial Care Facility | 501 Summit St, Yankton, SD 57078-3855 | 2007-04-26 |
| City | SIOUX FALLS |
| Zip Code | 57104 |
Please comment or provide details below to improve the information on CONVENIENCE HOME HEALTH-AIDE.
| 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.