Active NPI
Western Resources for Independent Living
- Respite Care
- Rapid City, SD
National Provider Identifier
1497009732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- WESTERN RESOURCES FOR INDEPENDENT LIVING
- Practice address
- 4110 Winfield CT
Rapid City, SD 57701-8306 - Phone
- (605) 791-3383
- Fax
- (605) 791-3385
- NPI assigned
- Nov 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Van Loan
- Title
- Executive Director
- Phone
- (605) 718-1930
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
4110 Winfield CT
Rapid City, SD 57701-8306
Mailing address
405 E Omaha St
Suite D
Rapid City, SD 57701-2975
Phone (605) 718-1930
National Provider Directory
National Provider DirectoryLocations
405 E Omaha St
Ste D
Rapid City, SD 57701
Phone (605) 348-2116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427241600000",
"number": "1497009732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 E OMAHA ST",
"address_2": "SUITE D",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577012975",
"telephone_number": "605-718-1930",
"fax_number": "605-718-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 WINFIELD CT",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577018306",
"telephone_number": "605-791-3383",
"fax_number": "605-791-3385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN RESOURCES FOR INDEPENDENT LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-08",
"last_updated": "2015-03-25",
"status": "A",
"authorized_official_last_name": "VAN LOAN",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "605-718-1930"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.