Organization Active NPI

Tri State Nursing Enterprises Inc

  • Nursing Care Agency
  • Sioux City, IA
National Provider Identifier
1780879403
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
TRI STATE NURSING ENTERPRISES INC
Practice address
3100 S Lakeport St
Sioux City, IA 51106-4222
Phone
(712) 277-4442
Fax
(712) 255-6840
NPI assigned
Sep 6, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Jennifer Schneiders
Title
Accountant
Phone
(712) 277-4442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X IA Primary

Addresses

Primary practice location

3100 S Lakeport St
Sioux City, IA 51106-4222

Mailing address

3100 S Lakeport St
Sioux City, IA 51106-4222
Phone (712) 277-4442

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0900021Tri State Nursing Enterprises, Inc3100 South Lakeport Street, Sioux City, IA 51106Certificate of waiverJul 24, 2028

National Provider Directory

National Provider Directory

Locations

621 16th St
Sioux City, IA 51105
Phone (712) 224-2774

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780879403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S LAKEPORT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064222",
            "telephone_number": "712-277-4442",
            "fax_number": "712-255-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S LAKEPORT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064222",
            "telephone_number": "712-277-4442",
            "fax_number": "712-255-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE NURSING ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "712-277-4442",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.