Waxdahl Ils, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WAXDAHL ILS, LLC

Doing business as

Complete Living Solutions/Insight

Practice address

4301 W 57TH St Ste 126
Sioux Falls, SD 57108-2258

Phone

(605) 251-8763

Fax

(605) 271-0672

NPI assigned

Nov 10, 2021

Organization subpart

No

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

Authorized official

Name

Jamy Waxdahl

Title

Owner/Operator

Phone

(605) 251-8763

Specialties & licenses 1

Addresses

Other names 1

• Complete Living Solutions/Insight Doing business as

Locations

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1679239008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W 57TH ST STE 126",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082258",
            "telephone_number": "605-251-8763",
            "fax_number": "605-271-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W 57TH ST STE 126",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082258",
            "telephone_number": "605-251-8763",
            "fax_number": "605-271-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAXDAHL ILS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "WAXDAHL",
        "authorized_official_first_name": "JAMY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "605-251-8763"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Living Solutions/Insight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• In Home Supportive Care Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.