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ADULT DAY CENTER OF THE BLACK HILLS NPI 1689185860


NPI Information

NPI: 1689185860
Provider Name: ADULT DAY CENTER OF THE BLACK HILLS
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
4110 WINFIELD CT
RAPID CITY, SD
ZIP 57701
Phone: (605) 415-0792
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ADULT DAY CENTER OF THE BLACK HILLS is a day training developmentally disabled services in Rapid City, SD. The provider is 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. ADULT DAY CENTER OF THE BLACK HILLS NPI is 1689185860. The provider is registered as an organization entity type.

The provider's business location address is:

4110 WINFIELD CT
RAPID CITY, SD
ZIP 57701-306
Phone: (605) 415-0792
Fax: (605) 348-7724

The provider's authorized official is Billie Jo Lee .
The authorized official title is Business Manager and has the following contact phone number (605) 791-0436.

The enumeration date for this NPI number is 10/16/2017 and was last updated on 5/5/2020.


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
1261QA0600XClinic/CenterAdult Day CareNo
2251C00000XDay Training, Developmentally Disabled ServicesYes

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
1DL137092OTHERSOUTH DAKOTASOUTH DAKOTA SECRETARY OF STATE

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.