NPIMap

Organization Active NPI

American Baptist Homes of the Midwest

Doing business as Trail Ridge Retirement Community

  • Assisted Living Facility
  • Sioux Falls, SD
National Provider Identifier
1497743603
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10744 Issued in SD
Legal business name
AMERICAN BAPTIST HOMES OF THE MIDWEST
Doing business as
Trail Ridge Retirement Community
Practice address
3408 W Ralph Rogers Rd
Sioux Falls, SD 57108-2602
Phone
(605) 339-9123
Fax
(605) 373-2602
NPI assigned
Oct 11, 2005
Last updated
May 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Christina R Kotz
Title
Director of Resident Receivables
Phone
(402) 639-3008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10744 SD Primary

Addresses

Primary practice location

3408 W Ralph Rogers Rd
Sioux Falls, SD 57108-2602

Mailing address

3408 W Ralph Rogers Rd
Suite 100
Sioux Falls, SD 57108-2602
Phone (605) 339-9123

Other identifiers 1

IdentifierTypeStateIssuer
9570720MedicaidSD

Other names 1

  • Trail Ridge Retirement Community Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tudor Oaks Health Cente14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

3408 W Ralph Rogers Rd
Sioux Falls, SD 57108
Phone (605) 339-9123

3408 W Ralph Rogers Rd
Ste 100
Sioux Falls, SD 57108
Phone (605) 339-9123

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1497743603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W RALPH ROGERS RD",
            "address_2": "SUITE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082602",
            "telephone_number": "605-339-9123",
            "fax_number": "605-339-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W RALPH ROGERS RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082602",
            "telephone_number": "605-339-9123",
            "fax_number": "605-373-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN BAPTIST HOMES OF THE MIDWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "KOTZ",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF RESIDENT RECEIVABLES",
        "authorized_official_telephone_number": "402-639-3008"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "10744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9570720",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trail Ridge Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trail Ridge Retirement Community",
            "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 May 23, 2019; 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.