LIFEQUEST (NPI# 1932254760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932254760 |
| Entity Type | Organization |
| Organization Name | LIFEQUEST |
| Practice Address |
804 N Mentzer St Mitchell SD 57301-2130 |
| Practice Telephone | 6059962032 |
| Practice Fax Number | 6059960972 |
| Mailing Telephone | 6059962032 |
| Mailing Fax Number | 6059960972 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DARYL KILSTROM (PRESIDENT) |
| Authorized Official Telephone | 6059962032 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5180033 | 05 | |
| SD | 5180030 | 05 | |
| SD | 5180120 | 05 | |
| SD | 5180090 | 05 | |
| SD | 5180080 | 05 | |
| SD | 5180032 | 05 | |
| SD | 0180100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851543961 | Lifequest | Day Training, Developmentally Disabled Services | 804 N. Mentzer, Mitchell, SD 57301 | 2008-10-21 |
| 1083903959 | Lifequest | In Home Supportive Care | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2011-03-31 |
| 1871727784 | Lifequest | Case Manager/Care Coordinator | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2009-05-06 |
| 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 |
| 1326160953 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-04-04 |
| 1982725891 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | LifeQuest Alliance | 3974 E. Evans Ave., Denver, CO 80210 |
| Colorado Business Entities | LifeQuest Capital, LLC | 8400 East Prentice Avenue, Suite 660, Greenwood Village, CO 80111 |
| Washington State Corporations | LIFEQUEST INDUSTRIES, L.L.C. | 22510 Se 64th Pl Po Box 1444, Issaquah, WA 98027 |
| Oregon Corporations, Companies and Business Names | LIFEQUEST NORTHWEST, INC. | 21550 Sw Old Kruger Rd, Sherwood, OR 97140 |
| Colorado Business Entities | LIFEQUEST UNLIMITED, L.L.C. | 10804 E Wesley Ave, Aurora, CO 80014 |
| Washington State Corporations | LIFEQUEST VENTURES INC | 412 N Main St Ste 100, Buffalo, WY 82834 |
| Street Address |
804 N MENTZER ST |
| City | MITCHELL |
| State | SD |
| Zip Code | 57301-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083903959 | Lifequest | In Home Supportive Care | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2011-03-31 |
| 1871727784 | Lifequest | Case Manager/Care Coordinator | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2009-05-06 |
| 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 |
| 1326160953 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-04-04 |
| 1982725891 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721388 | Dakota Counseling Institute | Social Worker | 910 W Havens, Mitchell, SD 57301 | 2020-05-08 |
| 1215588512 | Carolyn Marie Klinkhammer | Registered Nurse | 525 North Foster - Avera Queen of Peace Hospital, Mitchell, SD 57301 | 2019-09-27 |
| 1720596893 | Brian Bannwarth | Pharmacist | 25147 Campground Road, Mitchell, SD 57301 | 2018-01-11 |
| 1336664135 | Haley Long | Speech-Language Pathologist | 200 East Havens, Mitchell, SD 57301 | 2017-08-14 |
| 1770004996 | Edgewood Mitchell LLC | Assisted Living Facility | 501 East Spruce Street, Mitchell, SD 57301 | 2017-06-28 |
| 1467831685 | Amanda Louise Johnson | Physical Therapist | 910 S Edgerton, Mitchell, SD 57301 | 2015-05-20 |
| 1922432830 | Melissa Jill Maier | Dentist | 240 E 23 Ave, Mitchell, SD 57301 | 2013-08-27 |
| 1356626972 | Lewis Family Drug, LLC | Pharmacy | 1507 N Main St, Mitchell, SD 57301 | 2011-10-14 |
| 1184945958 | Kimberly L Lienemann | Counselor | 403 N Lawler St, Mitchell, SD 57301 | 2010-06-16 |
| 1134365554 | Gronsten-maier Dental Prof. LLC | Dentist | 240 E. 23rd Avenue, Mitchell, SD 57301 | 2009-01-07 |
| Find all providers in zip 57301 | ||||
| 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 |
|---|---|---|---|---|
| 1851543961 | Lifequest | Day Training, Developmentally Disabled Services | 804 N. Mentzer, Mitchell, SD 57301 | 2008-10-21 |
| 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 |
| 1326160953 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-04-04 |
| 1982725891 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1992850952 | Black Hills Works Inc | Day Training, Developmentally Disabled Services | 3650 Range Rd, Rapid City, SD 57702-0627 | 2007-01-23 |
| 1982759924 | Sesdac, Inc. | Day Training, Developmentally Disabled Services | 1314 E Cherry St, Vermillion, SD 57069-1606 | 2007-01-23 |
| 1740790765 | Shirley B Allen | Day Training, Developmentally Disabled Services | 4110 Winfield Ct, Rapid City, SD 57701-8306 | 2017-10-04 |
| 1124158811 | Adjustment Training Center, Inc. | Day Training, Developmentally Disabled Services | 607 N 4th St, Aberdeen, SD 57401-2733 | 2007-03-06 |
Please comment or provide details below to improve the information on LIFEQUEST.
| 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.