NPIMap

Organization Active NPI

Monument Health Home Plus, LLC

Doing business as Monument Health Home Plus Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Rapid City, SD
National Provider Identifier
1407306038
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MONUMENT HEALTH HOME PLUS, LLC
Doing business as
Monument Health Home Plus Home Medical Equipment
Practice address
1800 Haines Ave
Rapid City, SD 57701-0616
Phone
(605) 755-9000
Fax
(605) 755-9010
NPI assigned
Oct 6, 2016
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MONUMENT HEALTH HOME PLUS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Michael Tilles
Title
President-Monument Health Home Plus
Phone
(605) 519-1179

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Nursing Facility Supplies (DME) 332BN1400X NU

Addresses

Primary practice location

1800 Haines Ave
Rapid City, SD 57701-0616

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 755-7649

Other names 1

  • Monument Health Home Plus Home Medical Equipment Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170126000778 SD DME Supplier - Medical Supply Company With Respiratory Therapist 8729367776 Practice locations: Rapid City, SD

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Monument Health Home Plus Home Medi1800 Haines Ave, Rapid City, SD 57701-0616(605) 755-9000 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Hospital Beds (Electric)|Implanted Infusion Pumps and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutches|Patient Lifts|Walkers|Wheelchair… Accepts assignmentParticipating since Dec 9, 2016

National Provider Directory

National Provider Directory
Tax ID family
Regional Health Home Plus LLC11 organizations share this tax ID, including this one
Part of
Regional Health Home Plus LLC

Other organizations with this tax ID 10

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1407306038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860013",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860013",
            "telephone_number": "605-755-7649",
            "fax_number": "605-755-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HAINES AVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010616",
            "telephone_number": "605-755-9000",
            "fax_number": "605-755-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT HEALTH HOME PLUS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONUMENT HEALTH HOME PLUS, LLC",
        "enumeration_date": "2016-10-06",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "TILLES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT-MONUMENT HEALTH HOME PLUS",
        "authorized_official_telephone_number": "605-519-1179"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Monument Health Home Plus Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.