Ellen Stephen Hospice and Homecare

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

ELLEN STEPHEN HOSPICE AND HOMECARE

Practice address

1 Main
Kyle, SD 57752

Phone

(605) 455-1217

Fax

(605) 455-1218

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Alan Williams, RN

Title

Director/RN

Phone

(605) 455-1217

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699759001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "KYLE",
            "state": "SD",
            "postal_code": "577520488",
            "telephone_number": "605-455-1217",
            "fax_number": "605-455-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN",
            "city": "KYLE",
            "state": "SD",
            "postal_code": "57752",
            "telephone_number": "605-455-1217",
            "fax_number": "605-455-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN STEPHEN HOSPICE AND HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR/RN",
        "authorized_official_telephone_number": "605-455-1217",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171420",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Chmura
• Rafael Christian, MD
• Suzanne Curts, RN
• Mary E Dvorak, PHARMACIST
• Emmaline Elk, RN
• Christian W Emde, PHARM. D.
• Christina Mae Ferguson, FNP-C
• Georgia Lee Foote, RN
• Theresa Mary Friend, CNM, MSN
• Barbara Jeanne Fuller, PAC

• Home Health Registered Nurse in Kyle, SD
• Providers in Kyle, SD by specialty
• Home Health Registered Nurse 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.