BLACK HILLS SPECIAL SERVICES COOPERATIVE (NPI# 1578600417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578600417 |
Entity Type | Organization |
Organization Name | BLACK HILLS SPECIAL SERVICES COOPERATIVE |
Practice Address |
2885 Dickson Drive Sturgis SD 57785-0218 |
Mailing Address |
Po Box 218 Sturgis SD 57785-0218 |
Practice Telephone | 6053474467 |
Practice Fax Number | 6053475223 |
Mailing Telephone | 6053474467 |
Mailing Fax Number | 6053475223 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2020-08-22 |
Authorized Official Name | CASEY GEIS (ACCOUNTS RECEIVABLE CLERK) |
Authorized Official Telephone | 6053474467 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | 5150640 | SD | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | 5150640 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619493087 | Black Hills Special Services Cooperative | Case Management | 2885 Dickson Dr, Sturgis, SD 57785-2782 | 2017-08-17 |
1700035136 | Black Hills Special Services Cooperative | Case Manager/Care Coordinator | 221 S Central Ave, Pierre, SD 57501-2479 | 2008-09-10 |
1689824146 | Black Hills Special Services Cooperative | Case Manager/Care Coordinator | 730 E Watertown St, Rapid City, SD 57701-1300 | 2008-09-22 |
Street Address |
2885 DICKSON DRIVE |
City | STURGIS |
State | SD |
Zip Code | 57785-0218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598211179 | Barbara Samson | Specialist | 1807 William Street, Sturgis, SD 57785 | 2016-09-01 |
1144776345 | Mary Wood-fossen | Specialist | 1807 Williams, Sturgis, SD 57785 | 2016-08-28 |
1851784508 | Kara Graveman | Counselor | 1807 Williams St., Sturgis, SD 57785 | 2015-03-05 |
1972674307 | Meade School District 46 1 | Local Education Agency (LEA) | 1230 Douglas St, Sturgis, SD 57785 | 2006-11-09 |
1962571414 | Dakota Hills Family Practice | Durable Medical Equipment & Medical Supplies | 1010 Ballpark Rd Suite 3, Sturgis, SD 57785 | 2006-11-07 |
1639130859 | Jerrid W. Goebel | Chiropractor | 824 1st Street, Sturgis, SD 57785 | 2006-03-29 |
1821092818 | James D Kienitz | Social Worker | 890 Lazelle St, Sturgis, SD 57785 | 2005-06-08 |
1851847065 | Heather Ochocki | Specialist | 1807 Williams St, Sturgis, SD 57785 | 2016-08-28 |
1619344405 | Regional Health Network, Inc. | Dietitian, Registered | 2140 Junction Ave, Sturgis, SD 57785 | 2015-08-27 |
1427440692 | Action for The Betterment of The Community | Community/Behavioral Health | 1807 Williams St, Sturgis, SD 57785 | 2015-02-25 |
Find all providers in zip 57785 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851543961 | Lifequest | Day Training, Developmentally Disabled Services | 804 N. Mentzer, Mitchell, SD 57301 | 2008-10-21 |
1124174651 | Northern Hills Training Center, Inc. | Day Training, Developmentally Disabled Services | 625 Harvard St, Spearfish, SD 57783-1897 | 2007-01-26 |
1184779704 | Live Center Inc | Day Training, Developmentally Disabled Services | 407 2nd Ave W, Lemmon, SD 57638-1405 | 2007-01-24 |
1932254760 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-01-24 |
1992850952 | Black Hills Works Inc | Day Training, Developmentally Disabled Services | 3650 Range Rd, Rapid City, SD 57702-0627 | 2007-01-23 |
1982759924 | Sesdac, Inc. | Day Training, Developmentally Disabled Services | 1314 E Cherry St, Vermillion, SD 57069-1606 | 2007-01-23 |
1740790765 | Shirley B Allen | Day Training, Developmentally Disabled Services | 4110 Winfield Ct, Rapid City, SD 57701-8306 | 2017-10-04 |
1801918420 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-04-04 |
1982726501 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-04-04 |
1508988130 | Lifequest | Day Training, Developmentally Disabled Services | 804 N Mentzer St, Mitchell, SD 57301-2130 | 2007-04-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.