Padel Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PADEL HOME CARE LLC

Practice address

101 S Reid St Ste 307
Sioux Falls, SD 57103-7045

Phone

(605) 601-7574

NPI assigned

Jul 3, 2024

Organization subpart

No

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

Authorized official

Name

David Gitwaza

Title

Manager

Phone

(605) 601-7574

Specialties & licenses 1

Addresses

Other names 1

• PADEL HOME CARE Doing business as

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1245076868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 TEMPLEMORE DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S REID ST STE 307",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571037045",
            "telephone_number": "605-601-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADEL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "GITWAZA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "605-601-7574"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PADEL HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annika Overgaard, OTD
• Tanner Overweg
• Kristi Owen, CNP
• Kelsey Oye, PHARM.D.
• Christopher J Paa, MD
• Yuria Paez Weingartshofer, BCBA
• Richard Paez, RN
• Bridget N Page, CCC-SLP
• Eric Michael Page, MAT, ATC
• Paige Anderson, LLC

• In Home Supportive Care Agency in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• In Home Supportive Care Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.