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Contact Information

SIOUX FALLS PRIMARY HOME CARE SERVICES LLC
201 N MINNESOTA AVE STE 101L
SIOUX FALLS, SD57104
 Phone: 605-335-0023
 Fax: 605-853-7155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for SIOUX FALLS PRIMARY HOME CARE SERVICES LLC

NPI # 1699204313
LBN Legal business name SIOUX FALLS PRIMARY HOME CARE SERVICES LLC
Authorized official AMON ABOUA - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
SD Medicaid 1699204313
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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