Organization 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
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN BAPTIST HOMES OF THE MIDWESTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
410706155MedicaidSD

Other names 1

  • Trail Ridge Home Care Doing business as

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

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.

Verify at the official NPI Registry.