NPIMap

Organization Active NPI

Lutheran Social Services of South Dakota

Doing business as Summit Oaks Center II

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sioux Falls, SD
National Provider Identifier
1427210335
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
R12671 Issued in SD
Legal business name
LUTHERAN SOCIAL SERVICES OF SOUTH DAKOTA
Doing business as
Summit Oaks Center II
Practice address
621 E Presentation St
Sioux Falls, SD 57104-0820
Phone
(605) 221-2346
Fax
(605) 221-2404
NPI assigned
Jul 1, 2008
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LUTHERAN SOCIAL SERVICES OF SOUTH DAKOTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mr. Thomas P Walsh
Title
Vice President, Program Services
Phone
(605) 357-0102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X R12671 SD Primary

Addresses

Primary practice location

621 E Presentation St
Sioux Falls, SD 57104-0820

Mailing address

705 E 41St St Ste 200
Sioux Falls, SD 57105-6048
Phone (605) 357-0112

Other identifiers 1

IdentifierTypeStateIssuer
5167020MedicaidSD

Other names 1

  • Summit Oaks Center II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Social Services of5 organizations share this tax ID, including this one
Part of
Lutheran Social Services of

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1427210335",
    "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": "605-357-0112",
            "fax_number": "605-357-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E PRESENTATION ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571040820",
            "telephone_number": "605-221-2346",
            "fax_number": "605-221-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF SOUTH DAKOTA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN SOCIAL SERVICES OF SOUTH DAKOTA",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT, PROGRAM SERVICES",
        "authorized_official_telephone_number": "605-357-0102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SD",
            "license": "R12671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5167020",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Oaks Center II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.