Our Home Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

R130 Issued in SD

Legal business name

OUR HOME INC

Practice address

334 3Rd St SW
Huron, SD 57350-2418

Phone

(605) 352-4368

Fax

(605) 352-4976

NPI assigned

Feb 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steve Gubbrud

Title

Executive Director

Phone

(605) 352-4368

Specialties & licenses 3

Addresses

Other identifiers 3

Tax ID family

Our Home Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Our Home Inc

  • Psychiatric Residential Treatment Facility
  • Huron, SD
  • NPI 1093902132
  NPD tax ID
• Our Home, Inc.

  • Substance Abuse Rehabilitation Facility
  • Huron, SD
  • NPI 1144575887
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1013058718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 3RD ST SW",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502418",
            "telephone_number": "605-352-4368",
            "fax_number": "605-352-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 3RD ST SW",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502418",
            "telephone_number": "605-352-4368",
            "fax_number": "605-352-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "GUBBRUD",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "605-352-4368"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SD",
            "license": "R130",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SD",
            "license": "R97",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "SD",
            "license": "408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5000090",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5160132",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5160140",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Kelly O'Neill, RPH
• Dashia Ohman
• Karlie Olson, CSW
• Sandy Olson, LCSW
• Susan Kay Olson, CNP/PAC
• Our Home Inc
• Our Home, Inc.
• J.C. Palmer, HIS
• Kelsey Palmer, NCC, LPC-MH, LMFT
• Ryan M Palmer, PA-C

• All providers in Huron, SD
• Emotionally Disturbed Childrens' Residential Treatment Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.