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CHILDRENS HOME SOCIETY OF SOUTH DAKOTA NPI 1811017155


NPI Information

NPI: 1811017155
Provider Name: CHILDRENS HOME SOCIETY OF SOUTH DAKOTA
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
801 N SYCAMORE AVE
SIOUX FALLS, SD
ZIP 57110
Phone: (605) 334-6004
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CHILDRENS HOME SOCIETY OF SOUTH DAKOTA is a residential treatment facility emotionally disturbed children in Sioux Falls, SD. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CHILDRENS HOME SOCIETY OF SOUTH DAKOTA NPI is 1811017155. The provider is registered as an organization entity type.

The provider's business location address is:

801 N SYCAMORE AVE
SIOUX FALLS, SD
ZIP 57110-746
Phone: (605) 334-6004
Fax: (605) 335-2776

The provider's authorized official is Bill Colson .
The authorized official title is Executive Officer and has the following contact phone number (605) 334-6004.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 4/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1323P00000XPsychiatric Residential Treatment FacilityR45SOUTH DAKOTANo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenR51SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1117063500MEDICAIDSOUTH DAKOTA
25169020MEDICAIDSOUTH DAKOTA
35169010MEDICAIDSOUTH DAKOTA
45169030MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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