National Provider Identifier Database

OUR HOME INC
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.


Contact Information

OUR HOME INC
334 3RD ST SW
HURON, SD57350-2418
Phone: 605-352-4368
Fax: 605-352-4976
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for OUR HOME INC

NPI Number 1013058718
Legal business name
LBN
OUR HOME INC
Authorized official STEVE GUBBRUD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/08/2007
Last updated 08/24/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • SD License #: 408
  • SD License #: R130
  • SD License #: R97
  • SD Medicaid: 5000090
  • SD Medicaid: 5160132
  • SD Medicaid: 5160140

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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