NPIMap

Organization Active NPI

Childrens Home Society of South Dakota

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sioux Falls, SD
National Provider Identifier
1811017155
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
R51 Issued in SD
Legal business name
CHILDRENS HOME SOCIETY OF SOUTH DAKOTA
Practice address
801 N Sycamore Ave
Sioux Falls, SD 57110-5746
Phone
(605) 334-6004
Fax
(605) 335-2776
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Bill Colson
Title
Executive Officer
Phone
(605) 334-6004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X R51 SD Primary
Psychiatric Residential Treatment Facility 323P00000X R45 SD

Addresses

Primary practice location

801 N Sycamore Ave
Sioux Falls, SD 57110-5746

Mailing address

PO Box 1749
Sioux Falls, SD 57101-1749
Phone (605) 334-6004

Other identifiers 4

IdentifierTypeStateIssuer
5169030MedicaidSD
5169010MedicaidSD
117063500MedicaidSD
5169020MedicaidSD

National Provider Directory

National Provider Directory
Tax ID family
Childrens Home Society of South Dakota4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1811017155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1749",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571011749",
            "telephone_number": "605-334-6004",
            "fax_number": "605-335-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N SYCAMORE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571105746",
            "telephone_number": "605-334-6004",
            "fax_number": "605-335-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HOME SOCIETY OF SOUTH DAKOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "COLSON",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "605-334-6004"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SD",
            "license": "R51",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "SD",
            "license": "R45",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5169030",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5169010",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117063500",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5169020",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.