Kismet Elk LLC
Organization Active NPI Home Health Agency · Elk Point, SD
NPI 1326020108 · NPPES record last updated Jan 16, 2019
Key facts
- NPI
- 1326020108
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- KISMET ELK LLC
- Practice address
- 600 E Lincoln St
Elk Point, SD 57025-2284 - Phone
- (605) 356-3894
- NPI assigned
- Nov 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Michael L. Moore
- Title
- Chief Financial Officer
- Phone
- (605) 642-7736
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D0984033 | Kismet Elk-a Dba Wel-Life at Elk Point | Certificate of waiver | Mar 11, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
600 E Lincoln St
Elk Point, SD 57025-2284
Mailing address
600 E Lincoln St
Elk Point, SD 57025-2284
Phone (605) 356-3894
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0171480 | Medicaid | SD |
Other names
- WEL Home Health Elk Point
Other providers in Elk Point, SD
- Erik Neil Johnson
- Johnson'S Chiropractic Clinic, P.C.
- Marie Kaiser
- Kevin Glenn Wurtz
- Key Rehabilitation, Inc
- Kismet Elk LLC
- Matthew John McDermott
- Traci McDonald
- Peter Edward Murray
- Katherine Susanne Nielson
All providers in Elk Point, SD · Home Health Agency in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.