Kebele'S Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

KEBELE'S HOME

Practice address

4201 W Pat St
Sioux Falls, SD 57107-1839

Phone

(605) 370-0974

NPI assigned

Feb 22, 2023

Organization subpart

Yes

Parent organization

LIVING WELL COMMNUTIY HOMEAs reported in NPPES

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

Authorized official

Name

Samson Usha ArgoNPI 1477281459

Title

Manager

Phone

(605) 370-0974

Specialties & licenses 1

Addresses

Part of

Living Well Commnutiy Home

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Living Well Commnutiy Home

  • Adult Care Home Facility
  • Sioux Falls, SD
  • NPI 1740986496
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samson Usha Argo

  • Adult Care Home Facility
  • Sioux Falls, SD
  • NPI 1477281459
  NPD Authorized official
• Kebele Wako Godena

  • Adult Care Home Facility
  • Sioux Falls, SD
  • NPI 1225737778
  NPD

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1508564139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 S TOWNSLEY AVE UNIT 107",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571087640",
            "telephone_number": "605-370-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W PAT ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571071839",
            "telephone_number": "605-370-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEBELE'S HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVING WELL COMMNUTIY HOME",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "ARGO",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_middle_name": "USHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "605-370-0974"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Haris Zamir Kazmi, MD
• Syed Murtaza Hasan Kazmi, MD
• Natalie Nicole Kearns, CRNA
• Jennifer L. Keating
• Kari Keating, MS, CF-SLP
• Jolene Keckler
• Scott James Keckler, M.D.
• Robert James Keefe, RN
• Sadie Jane Keegan
• Jeri Keenan-Cattnach, MA, CCC-SLP

• Adult Care Home Facility in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Adult Care Home Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.