Sioux Falls Primary Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SIOUX FALLS PRIMARY HOME CARE SERVICES LLC

Practice address

201 N Minnesota Ave Ste 101L
Sioux Falls, SD 57104

Phone

(605) 335-0023

Fax

(605) 853-7155

NPI assigned

Jun 6, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Amon E Aboua, PH.DNPI 1871028167

Title

Director

Phone

(605) 335-0023

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Amon Eustache Aboua

  • Homemaker
  • Sioux Falls, SD
  • NPI 1871028167
  Authorized official Same address or phone

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699204313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MINNESOTA AVE STE 101L",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046044",
            "telephone_number": "605-335-0023",
            "fax_number": "605-853-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MINNESOTA AVE STE 101L",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57104",
            "telephone_number": "605-335-0023",
            "fax_number": "605-853-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUX FALLS PRIMARY HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ABOUA",
        "authorized_official_first_name": "AMON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-335-0023",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699204313",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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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 Jul 21, 2022; 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.