Organization Active NPI

Haven Home Care Services

  • In Home Supportive Care Agency
  • Sioux Falls, SD
National Provider Identifier
1063150118
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HAVEN HOME CARE SERVICES
Practice address
200 N Phillips Ave Ste L104
Sioux Falls, SD 57104-6059
Phone
(605) 951-4421
NPI assigned
May 26, 2022
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Innocent Ncuringoma
Title
Owner
Phone
(215) 396-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

200 N Phillips Ave Ste L104
Sioux Falls, SD 57104-6059

Mailing address

200 N Phillips Ave Ste L104
Sioux Falls, SD 57104-6059
Phone (605) 951-4421

National Provider Directory

National Provider Directory

Locations

200 N Phillips Ave
Ste L104
Sioux Falls, SD 57104
Phone (605) 951-4421

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1063150118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N PHILLIPS AVE STE L104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046059",
            "telephone_number": "605-951-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N PHILLIPS AVE STE L104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046059",
            "telephone_number": "605-951-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "NCURINGOMA",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-396-0070"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.