MEDICARE: SANFORD HOME HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1679572366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANFORD HOME HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 5074
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57117-5074
Country	:	US
Telephone Number	:	605-328-6585
Fax Number	:

Provider Business Practice Location Address
First Line	:	2710 W 12TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57104-3701
Country	:	US
Telephone Number	:	605-328-4440
Fax Number	:	605-328-5963

Authorized Official
Title or Position	:	VICE PRESIDENT, REVENUE CYCLE
Name	:	TONY LEE MORRISON
Credential	:
Telephone Number	:	605-328-8380

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	12/02/2025

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