Active NPI
American Baptist of the Midwest Foundation
Doing business as Trail Ridge Home Care
- In Home Supportive Care Agency
- Sioux Falls, SD
National Provider Identifier
1154015873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- AMERICAN BAPTIST OF THE MIDWEST FOUNDATION
- Doing business as
- Trail Ridge Home Care
- Practice address
- 3408 W Ralph Rogers Rd Ste 200
Sioux Falls, SD 57108-2683 - Phone
- (605) 231-8141
- Fax
- (605) 373-0088
- NPI assigned
- Jun 6, 2023
- Last updated
- Jan 26, 2024
- Organization subpart
- Yes
- Parent organization
- AMERICAN BAPTIST HOMES OF THE MIDWEST
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebakah B Dehaai
- Title
- Director of Home Care
- Phone
- (605) 231-8141
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | NU | ||
| Respite Care | 385H00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
3408 W Ralph Rogers Rd Ste 200
Sioux Falls, SD 57108-2683
Mailing address
3408 W Ralph Rogers Rd Ste 200
Sioux Falls, SD 57108-2683
Phone (605) 231-8141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410706155 | Medicaid | SD |
Other names 1
- Trail Ridge Home Care
National Provider Directory
National Provider Directory- Part of
- Tudor Oaks Health Cente
Locations
3408 W Ralph Rogers Rd
Ste 200
Sioux Falls, SD 57108
Phone (605) 231-8141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706227200000",
"number": "1154015873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3408 W RALPH ROGERS RD STE 200",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082683",
"telephone_number": "605-231-8141",
"fax_number": "605-373-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 W RALPH ROGERS RD STE 200",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082683",
"telephone_number": "605-231-8141",
"fax_number": "605-373-0088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN BAPTIST OF THE MIDWEST FOUNDATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERICAN BAPTIST HOMES OF THE MIDWEST",
"enumeration_date": "2023-06-06",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A",
"authorized_official_last_name": "DEHAAI",
"authorized_official_first_name": "REBAKAH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DIRECTOR OF HOME CARE",
"authorized_official_telephone_number": "605-231-8141"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410706155",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Trail Ridge Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Trail Ridge Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sioux Falls, SD
- Beth Amdahl, PA-C
- Amedisys South Dakota LLC (Amedisys Home Health of Sioux Falls)
- Fawzi Mohammad Ameer, M.D.
- American Baptist Homes of the Midwest
- American Baptist Homes of the Midwest (Trail Ridge Retirement Community)
- Ameripharm, Inc (Medvantx Pharmacy Services)
- Hina Amin, MD
- Nessim Amin, MD
- Lisa Carol Amiotte, M.D.
- Hasmik Amirjanyan, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.