A.W. Holdings, LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

A.W. HOLDINGS, LLC

Practice address

3240 1St Ave
Spearfish, SD 57783-3209

Phone

(605) 644-7370

NPI assigned

Jan 18, 2019

Organization subpart

No

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

Authorized official

Name

Nancy Ann Bobay

Title

Chief Compliance Officer

Phone

(260) 207-5604

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Benchmark Human Services Doing business as

Tax ID family

Aw Holdings LLC53 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1972077360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 BLUFFTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468093022",
            "telephone_number": "260-744-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 1ST AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833209",
            "telephone_number": "605-644-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.W. HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "BOBAY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "260-207-5604"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012051",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benchmark Human Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benchmark Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Manager/Care Coordinator in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Case Manager/Care Coordinator in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.