CHILDRENS HOME SOCIETY OF SOUTH DAKOTA (NPI# 1811017155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811017155 |
Entity Type | Organization |
Organization Name | CHILDRENS HOME SOCIETY OF SOUTH DAKOTA |
Practice Address |
801 N Sycamore Ave Sioux Falls SD 57110-5746 |
Mailing Address |
Po Box 1749 Sioux Falls SD 57101-1749 |
Practice Telephone | 6053346004 |
Practice Fax Number | 6053352776 |
Mailing Telephone | 6053346004 |
Mailing Fax Number | 6053352776 |
Enumeration Date | 2007-03-30 |
Last Update Date | 2016-04-06 |
Authorized Official Name | BILL COLSON (EXECUTIVE OFFICER) |
Authorized Official Telephone | 6053346004 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 323P00000X | Psychiatric Residential Treatment Facility | R45 | SD | Residential Treatment Facilities |
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | R51 | SD | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | 117063500 | 05 | |
SD | 5169020 | 05 | |
SD | 5169010 | 05 | |
SD | 5169030 | 05 |
Street Address |
801 N SYCAMORE AVE |
City | SIOUX FALLS |
State | SD |
Zip Code | 57110-5746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831661438 | Lisa Jo Nafziger | Social Worker | 3216 E 10th St, Sioux Falls, SD 57110 | 2018-12-19 |
1700146396 | Avera Mckennan | Clinic/Center | 1035 South Highline Pl, Ste #4, Sioux Falls, SD 57110 | 2012-05-17 |
1467517011 | Chad Jerome Hanson | Physical Therapist | 1914 S Sycamore Ave, Suite 108, Sioux Falls, SD 57110 | 2006-12-26 |
1407834419 | Lanpher Chiropractic | Chiropractor | 506 N Sycamore Ave, Sioux Falls, SD 57110 | 2006-01-09 |
1427605021 | Nicole Lindy Rasmussen | Pharmacist | Walgreens Pharmacy, 1720 South Sycamore Ave, Sioux Falls, SD 57110 | 2019-08-20 |
1285672246 | John Wesley Joseph Sivesind | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-06-03 |
1487133047 | Stephanie Preheim | Pharmacist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2018-08-14 |
1124109194 | Wal-mart Stores, Inc. | Technician/Technologist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-10-18 |
1407949753 | Dr. John W Sivesind, O.d., P.C. | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-10-01 |
1669499836 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-07-16 |
Find all providers in zip 57110 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407988108 | Mccrossan Boys Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 47135 260th St, Sioux Falls, SD 57107-6428 | 2007-03-09 |
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 |
1194885723 | Lutheran Social Services of South Dakota Inc | Residential Treatment Facility, Emotionally Disturbed Children | 705 E 41st St, Suite 200, Sioux Falls, SD 57105-6053 | 2006-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144358433 | Sky Ranch for Boys, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 100 Sky Ranch Ln, Sky Ranch, SD 57724-9401 | 2007-03-01 |
1619010543 | Chamberlain Academy | Residential Treatment Facility, Emotionally Disturbed Children | 211 W 16th Ave, Chamberlain, SD 57325-0367 | 2007-02-14 |
1013058718 | Our Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 334 3rd St Sw, Huron, SD 57350-2418 | 2007-02-08 |
1235281635 | Aurora Plains Academy, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1400 East 10th St., Plankinton, SD 57368-2033 | 2007-01-17 |
1184785222 | Plankinton School District 1 1 | Residential Treatment Facility, Emotionally Disturbed Children | 404 East Davenport, Plankinton School District 1 1, Plankinton, SD 57368-0190 | 2006-12-13 |
1003942095 | Aurora Plains Academy LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1400 E 10th St, Plankinton, SD 57368-2033 | 2007-02-26 |
City | SIOUX FALLS |
Zip Code | 57110 |
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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.