Healthcare Provider Details

I. General information

NPI: 1629267364
Provider Name (Legal Business Name): SANFORD HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2007
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 2ND AVE
MADISON MN
56256-1006
US

IV. Provider business mailing address

2710 W 12TH ST
SIOUX FALLS SD
57104-3701
US

V. Phone/Fax

Practice location:
  • Phone: 320-598-7556
  • Fax:
Mailing address:
  • Phone: 605-328-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LOIS SCHULLER
Title or Position: DIRECTOR
Credential:
Phone: 605-328-5903