NPIMap

Organization Active NPI

Abbott House, Inc.

  • Psychiatric Residential Treatment Facility
  • Mitchell, SD
National Provider Identifier
1053526673
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
ABBOTT HOUSE, INC.
Practice address
909 Court Merrill St
Mitchell, SD 57301-4362
Phone
(605) 996-2486
Fax
(605) 996-4585
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Mrs. Kimberly Moore
Title
Business MGR
Phone
(605) 996-2486

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

909 Court Merrill St
Mitchell, SD 57301-4362

Mailing address

909 Court Merrill St
Mitchell, SD 57301-4362
Phone (605) 996-2486

Other identifiers 3

IdentifierTypeStateIssuer
5160000MedicaidSD
5000400MedicaidSD
5169080MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Psychiatric residential treatment facility certification: CCN 43L011

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ABBOTT HOUSE INC
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Aug 6, 2008
Last certification
Sep 3, 2025
Beds
45
Ownership / control type
Non-profit – other
Facility address
909 Court Merrill Post Office Box 700
Mitchell, SD 57301

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1053526673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 COURT MERRILL ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014362",
            "telephone_number": "605-996-2486",
            "fax_number": "605-996-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 COURT MERRILL ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014362",
            "telephone_number": "605-996-2486",
            "fax_number": "605-996-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOTT HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "BUSINESS MGR",
        "authorized_official_telephone_number": "605-996-2486",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5160000",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5000400",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5169080",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.