NPIMap

Organization Active NPI

Our Home, Inc.

  • Substance Abuse Rehabilitation Facility
  • Huron, SD
National Provider Identifier
1144575887
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
10505 Issued in SD
Legal business name
OUR HOME, INC.
Practice address
40354 210TH St
Huron, SD 57350-7928
Phone
(605) 353-1025
Fax
(605) 353-1061
NPI assigned
Jul 18, 2012
Last updated
Jul 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 10505 SD Primary

Addresses

Primary practice location

40354 210TH St
Huron, SD 57350-7928

Mailing address

334 3Rd St SW
Huron, SD 57350-2418
Phone (605) 352-4368

Other identifiers 1

IdentifierTypeStateIssuer
5000090MedicaidSD

National Provider Directory

National Provider Directory
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.

Locations

40354 210th St
Huron, SD 57350
Phone (605) 352-4368

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1144575887",
    "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",
            "fax_number": "605-352-4976"
        },
        {
            "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": "605-353-1025",
            "fax_number": "605-353-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "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": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "SD",
            "license": "10505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5000090",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.