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AMERICAN BAPTIST HOMES OF THE MIDWEST NPI 1497743603


NPI Information

NPI: 1497743603
Provider Name: AMERICAN BAPTIST HOMES OF THE MIDWEST

Doing Business As: TRAIL RIDGE RETIREMENT COMMUNITY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 43D1043973

Address:
3408 W RALPH ROGERS RD
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 339-9123
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AMERICAN BAPTIST HOMES OF THE MIDWEST is an assisted living facility in Sioux Falls, SD. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. AMERICAN BAPTIST HOMES OF THE MIDWEST NPI is 1497743603. The provider is registered as an organization entity type.
The provider Is Doing Business As Trail Ridge Retirement Community.

The provider's business location address is:

3408 W RALPH ROGERS RD
SIOUX FALLS, SD
ZIP 57108-602
Phone: (605) 339-9123
Fax: (605) 373-2602

The provider's authorized official is Christina R Kotz .
The authorized official title is Director Of Resident Receivables and has the following contact phone number (402) 639-3008.

The CLIA number assigned to this NPI record is 43D1043973 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2005 and was last updated on 5/23/2019.


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
1310400000XAssisted Living Facility10744SOUTH 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
19570720MEDICAIDSOUTH 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.