Active NPI
Southeast Dakota Home Care
Doing business as Home Instead Senior Care
- Nursing Care Agency
- Mitchell, SD
National Provider Identifier
1669607453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9550620 | Medicaid | SD |
Other names 1
- Home Instead Senior Care
National Provider Directory
National Provider DirectoryLocations
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.