Organization Active NPI

Western Resources for Independent Living

  • Respite Care
  • Rapid City, SD
National Provider Identifier
1497009732
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
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

Updated by the provider on Mar 25, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.