Active NPI
Lifequest
- Developmentally Disabled Services Day Training Agency
- Mitchell, SD
National Provider Identifier
1982726501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- LIFEQUEST
- Practice address
- 804 N Mentzer St
Mitchell, SD 57301-2130 - Phone
- (605) 996-2032
- Fax
- (605) 996-0972
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daryl Kilstrom
- Title
- Executive Director
- Phone
- (605) 996-2032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
804 N Mentzer St
Mitchell, SD 57301-2130
Mailing address
804 N Mentzer St
Mitchell, SD 57301-2130
Phone (605) 996-2032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5180080 | Medicaid | SD |
National Provider Directory
National Provider Directory- Tax ID family
- Lifequest
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Mitchell, SD
- NPI 1083903959
-
- Developmentally Disabled Services Day Training Agency
- Mitchell, SD
- NPI 1326160953
-
- Developmentally Disabled Services Day Training Agency
- Mitchell, SD
- NPI 1417079047
-
- Developmentally Disabled Services Day Training Agency
- Mitchell, SD
- NPI 1508988130
-
- Developmentally Disabled Services Day Training Agency
- Mitchell, SD
- NPI 1801918420
-
- Developmentally Disabled Services Day Training Agency
- Mitchell, SD
- NPI 1851543961
-
- Case Manager/Care Coordinator
- Mitchell, SD
- NPI 1871727784
-
- Developmentally Disabled Services Day Training Agency
- Mitchell, SD
- NPI 1932254760
-
- Developmentally Disabled Services Day Training Agency
- Mitchell, SD
- NPI 1982725891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982726501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 N MENTZER ST",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573012130",
"telephone_number": "605-996-2032",
"fax_number": "605-996-0972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 N MENTZER ST",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573012130",
"telephone_number": "605-996-2032",
"fax_number": "605-996-0972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEQUEST",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KILSTROM",
"authorized_official_first_name": "DARYL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "605-996-2032",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5180080",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mitchell, 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.