Organization Active NPI

Southeast Dakota Home Care

Doing business as Home Instead Senior Care

  • Nursing Care Agency
  • Mitchell, SD
National Provider Identifier
1669607453
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
SOUTHEAST DAKOTA HOME CARE
Doing business as
Home Instead Senior Care
Practice address
200 E 5TH Ave
Ste. 3
Mitchell, SD 57301-2652
Phone
(605) 996-0503
Fax
(605) 996-0310
NPI assigned
May 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Mrs. Jan Fae Jerke
Title
Partner
Phone
(605) 996-0503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

200 E 5TH Ave
Ste. 3
Mitchell, SD 57301-2652

Mailing address

200 E 5TH Ave
Ste. 3
Mitchell, SD 57301-2652
Phone (605) 996-0503

Other identifiers 1

IdentifierTypeStateIssuer
9550620MedicaidSD

Other names 1

  • Home Instead Senior Care Doing business as

National Provider Directory

National Provider Directory

Locations

200 E 5th Ave
Ste 3
Mitchell, SD 57301
Phone (605) 933-9146

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1669607453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 5TH AVE",
            "address_2": "STE. 3",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012652",
            "telephone_number": "605-996-0503",
            "fax_number": "605-996-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 5TH AVE",
            "address_2": "STE. 3",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012652",
            "telephone_number": "605-996-0503",
            "fax_number": "605-996-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST DAKOTA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "JERKE",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "FAE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "605-996-0503",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9550620",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.