NPIMap

Organization Active NPI

Children's Care Hospital and School

  • Rehabilitation Clinic/Center
  • Sioux Falls, SD
National Provider Identifier
1558560904
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
10562 Issued in SD
Legal business name
CHILDREN'S CARE HOSPITAL AND SCHOOL
Practice address
1020 W 18TH St
Sioux Falls, SD 57104-4707
Phone
(605) 444-9500
NPI assigned
Jul 16, 2007
Last updated
Aug 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Ms. Dianna Rajski
Title
Chief Executive Officer
Phone
(605) 444-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 10562 SD Primary

Addresses

Primary practice location

1020 W 18TH St
Sioux Falls, SD 57104-4707

Mailing address

2501 W 26TH St
Sioux Falls, SD 57105-2446
Phone (605) 444-9500

Other identifiers 7

IdentifierTypeStateIssuer
0563718MedicaidIA
5550020MedicaidSD
9206292OtherDAKOTACARE
HFFIN62827OtherHEALTH PARTNERS
21135OtherSANFORD
8CH01OtherBCBS
910827100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030224000043 SD Part A Provider - Hospital 8729997267 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sioux Falls, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558560904. Details of each certification follow.

Hospital certification: CCN 433300

Legal name
CHILDRENS CARE HOSPITAL AND SCHOOL
Doing business as
LIFESCAPE
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
May 1, 2003
Last certification
Jun 18, 2025
Beds
18
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 19, 1947 in SD
Enrollment address
2501 W 26TH St
Sioux Falls, SD 57105-2446
Main/Primary Hospital Location
Hospital subgroups
Children’s

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
LifescapeCCN 433300 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Crippled Childrens Outr7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Stephen Wilson Individual Corporate OfficerChief Financial Officer Jan 1, 2024 10%
W-2 Managing EmployeeChief Financial Officer Jan 1, 2024
Steve Watkins Individual Corporate OfficerCeo Jan 1, 2024 10%
W-2 Managing EmployeeChief Executive Officer Jan 1, 2024
Kimberly Marso Individual Corporate OfficerChief Operating Officer Jan 1, 2024 10%
W-2 Managing EmployeeChief Operating Officer Apr 1, 2014
Operational/Managerial ControlChief Operating Office Apr 1, 2014 10%
Amy M Jensen Individual W-2 Managing EmployeeDirector of Patient Financial SE Jun 25, 2013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

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

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1558560904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052446",
            "telephone_number": "605-444-9500",
            "fax_number": "605-444-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044707",
            "telephone_number": "605-444-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CARE HOSPITAL AND SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "RAJSKI",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "605-444-9500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "SD",
            "license": "10562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0563718",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5550020",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9206292",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HFFIN62827",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD",
            "identifier": "21135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CH01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910827100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.