State Home Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0000 Issued in SD

Legal business name

STATE HOME CARE SERVICES, INC.

Practice address

1301 W Omaha St Ste 208
Rapid City, SD 57701-2603

Phone

(605) 718-5004

Fax

(605) 718-5006

NPI assigned

Jun 14, 2005

Last updated

Sep 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Patrick Beedle, RN

Title

Administrator

Phone

(605) 718-5004

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487659736. Details of each certification follow.

• CCN 437300 Home health agency · Active · Details

Home health agency certification: CCN 437300

Legal name

STATE HOME CARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 11, 2002

Last certification

Oct 3, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 13, 1994 in SD

Enrollment address

1301 W Omaha St
Ste 208
Rapid City, SD 57701-2603

Listed as

State Home Care Services, IncCCN 437300 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Jul 11, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

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

CLIA laboratory certificates

Tax ID family

Recover Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• State Home Care Services, Inc

  • Home Health Agency
  • Sioux Falls, SD
  • NPI 1265680474
  NPD tax ID

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sarah Lee Schryvers, CNP

  • Nurse Practitioner
  • Hot Springs, SD
  • NPI 1548207673

  Home health agency

  Care Compare affiliation
• Brenda Lynn Vandewater

  • Family Nurse Practitioner
  • Hot Springs, SD
  • NPI 1669847067

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1487659736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W OMAHA ST STE 208",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012603",
            "telephone_number": "605-718-5004",
            "fax_number": "605-718-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W OMAHA ST STE 208",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012603",
            "telephone_number": "605-718-5004",
            "fax_number": "605-718-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "BEEDLE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-718-5004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SD",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170932",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa L Stanton, BA
• Kara K Stapert, CNP
• Patricia Ann Starkey, LPN
• Carla Starr, LCSW
• Jynessa Rianna Starr
• State of South Dakota Division of Oasi (South Dakota Department of Health)
• Michael Statz
• Stay Graceful Inc
• Emily Steadman, PA-C
• Erin Rhonda Stearns, MSW, CSW-PIP

• Home Health Agency in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Home Health Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.