NPIMap

Organization Active NPI

Lutheran Social Services of SD

Doing business as Canyon Hills Center

  • Psychiatric Residential Treatment Facility
  • Spearfish, SD
National Provider Identifier
1356527402
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
R100 Issued in SD
Legal business name
LUTHERAN SOCIAL SERVICES OF SD
Doing business as
Canyon Hills Center
Practice address
2519 Windmill Dr
Spearfish, SD 57783-9588
Phone
(605) 642-7188
Fax
(605) 642-3720
NPI assigned
Jan 18, 2008
Organization subpart
Yes
Parent organization
LUTHERAN SOCIAL SERVICES OF SDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Steve Anderson
Title
Vice President, Support Services
Phone
(605) 357-0108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X R100 SD Primary

Addresses

Primary practice location

2519 Windmill Dr
Spearfish, SD 57783-9588

Mailing address

705 E 41St St Ste 200
Sioux Falls, SD 57105-6048
Phone (605) 357-0100

Other identifiers 2

IdentifierTypeStateIssuer
55517MedicaidND
5169070MedicaidSD

Other names 1

  • Canyon Hills Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Psychiatric residential treatment facility certification: CCN 43L007

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CANYON HILLS CENTER
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Oct 1, 2007
Last certification
Sep 13, 2023
Beds
32
Ownership / control type
Non-profit – other
Facility address
2519 Windmill Drive
Spearfish, SD 57783

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Social Services of South Dakota5 organizations share this tax ID, including this one
Part of
Lutheran Social Services of South Dakota

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2519 Windmill Dr
Spearfish, SD 57783
Phone (605) 559-3500

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1356527402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E 41ST ST STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056048",
            "telephone_number": "605-357-0100",
            "fax_number": "605-357-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 WINDMILL DR",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577839588",
            "telephone_number": "605-642-7188",
            "fax_number": "605-642-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF SD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN SOCIAL SERVICES OF SD",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT, SUPPORT SERVICES",
        "authorized_official_telephone_number": "605-357-0108"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "SD",
            "license": "R100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55517",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5169070",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Hills Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spearfish, SD

Sources for this page

Verify at the official NPI Registry.