Organization Active NPI

The Glory House of Sioux Falls

  • Substance Abuse Rehabilitation Facility
  • Sioux Falls, SD
National Provider Identifier
1902937394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THE GLORY HOUSE OF SIOUX FALLS
Practice address
4000 S West Ave
Sioux Falls, SD 57105-6601
Phone
(605) 332-3273
Fax
(605) 332-6410
NPI assigned
Mar 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David R Johnson, LPC
Title
Executive Director
Phone
(605) 988-9102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X SD Primary

Addresses

Primary practice location

4000 S West Ave
Sioux Falls, SD 57105-6601

Mailing address

PO Box 88145
Sioux Falls, SD 57109-8145
Phone (605) 332-3273

National Provider Directory

National Provider Directory
Tax ID family
The Glory House of Sioux Falls2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4000 S West Ave
Sioux Falls, SD 57105
Phone (605) 332-3273

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902937394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88145",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571098145",
            "telephone_number": "605-332-3273",
            "fax_number": "605-332-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S WEST AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056601",
            "telephone_number": "605-332-3273",
            "fax_number": "605-332-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GLORY HOUSE OF SIOUX FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "605-988-9102",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.