Active NPI
Diversified Enterprises, Inc.
Doing business as Interim HealthCare of Sioux Falls
- Home Health Agency
- Sioux Falls, SD
National Provider Identifier
1063441780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171050 | Medicaid | SD |
Other names 1
- Interim HealthCare of Sioux Falls
National Provider Directory
National Provider DirectoryLocations
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.