Organization Active NPI

Diversified Enterprises, Inc.

Doing business as Interim HealthCare of Sioux Falls

  • Home Health Agency
  • Sioux Falls, SD
National Provider Identifier
1063441780
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVERSIFIED ENTERPRISES, INC.
Doing business as
Interim HealthCare of Sioux Falls
Practice address
3608 S Southeastern Ave
Sioux Falls, SD 57103-7123
Phone
(605) 371-4253
Fax
(605) 371-4260
NPI assigned
Jul 3, 2006
Last updated
Dec 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Mr. Paul Millman
Title
Owner
Phone
(605) 371-4253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3608 S Southeastern Ave
Sioux Falls, SD 57103-7123

Mailing address

3608 S Southeastern Ave
Sioux Falls, SD 57103-7123
Phone (605) 371-4253

Other identifiers 1

IdentifierTypeStateIssuer
171050MedicaidSD

Other names 1

  • Interim HealthCare of Sioux Falls Doing business as

National Provider Directory

National Provider Directory

Locations

3608 S Southeastern Ave
Sioux Falls, SD 57103
Phone (605) 371-4253

3626 S Southeastern Ave
Sioux Falls, SD 57103
Phone (605) 371-4253

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1063441780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 S SOUTHEASTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571037123",
            "telephone_number": "605-371-4253",
            "fax_number": "605-371-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 S SOUTHEASTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571037123",
            "telephone_number": "605-371-4253",
            "fax_number": "605-371-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "MILLMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-371-4253",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171050",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Sioux Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 8, 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.