Our Home Inc

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

R97 Issued in SD

Legal business name

OUR HOME INC

Practice address

40354 210TH St
Huron, SD 57350-7928

Phone

(605) 352-9098

NPI assigned

Oct 3, 2007

Last updated

Oct 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steve Gubbrud

Title

Executive Director

Phone

(605) 352-4368

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093902132. Details of each certification follow.

• CCN 43L012 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 43L012

Legal name

OUR HOME INC HURON

Certification status

Active

Provider type (POS)

Psychiatric residential treatment facility

Participating since

Aug 4, 2008

Last certification

Sep 20, 2023

Beds

36

Ownership / control type

Government – state

Most recent change of ownership

Oct 2, 2023 (1 total)

Facility address

40354 210TH Street
Huron, SD 57350

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

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Huron, SD
  • NPI 1013058718
  NPD tax ID
• Our Home, Inc.

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

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1093902132",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40354 210TH ST",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573507928",
            "telephone_number": "605-352-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "SD",
            "license": "R97",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5169110",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• People's Transit, Inc.

• Psychiatric Residential Treatment Facility in Huron, SD
• Providers in Huron, SD by specialty
• Psychiatric Residential Treatment Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.