NPIMap

Organization Active NPI

Lakota Tiwahe Center

  • Early Intervention Provider Agency
  • Rosebud, SD
National Provider Identifier
1407163207
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
LAKOTA TIWAHE CENTER
Practice address
40 Hospital Road
Lakota Tiwahe Center
Rosebud, SD 57570-0040
Phone
(605) 747-2833
Fax
(605) 747-5479
NPI assigned
Sep 1, 2010
Last updated
Sep 1, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ROSEBUD SIOUX TRIBE EDUCATION DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Ms. Cindy Young
Title
Director
Phone
(605) 747-2833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

40 Hospital Road
Lakota Tiwahe Center
Rosebud, SD 57570-0040

Mailing address

PO Box 40
141 Hospital Road-Lakota Tiwahe Center
Rosebud, SD 57570-0040
Phone (605) 747-2833

Other identifiers 1

IdentifierTypeStateIssuer
5607940MedicaidSD

Other names 1

  • Rosebud Developmental Clinic Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Rosebud Sioux Tribe Amb SVC8 organizations share this tax ID, including this one
Part of
Rosebud Sioux Tribe Amb SVC

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1407163207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "address_2": "141 HOSPITAL ROAD-LAKOTA TIWAHE CENTER",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575700040",
            "telephone_number": "605-747-2833",
            "fax_number": "605-747-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HOSPITAL ROAD",
            "address_2": "LAKOTA TIWAHE CENTER",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575700040",
            "telephone_number": "605-747-2833",
            "fax_number": "605-747-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKOTA TIWAHE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSEBUD SIOUX TRIBE EDUCATION DEPARTMENT",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-747-2833",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5607940",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosebud Developmental Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rosebud, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.