Healthcare Provider Details

I. General information

NPI: 1851883540
Provider Name (Legal Business Name): MODERN DAY HEALTH CARE PROF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 6TH AVE SE STE 1
ABERDEEN SD
57401-4950
US

IV. Provider business mailing address

2501 S LOUISE AVE UNIT 90332
SIOUX FALLS SD
57109-4669
US

V. Phone/Fax

Practice location:
  • Phone: 605-250-1200
  • Fax: 605-250-0999
Mailing address:
  • Phone: 605-250-1200
  • Fax: 605-250-0999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEANNE DONAWAY
Title or Position: CEO
Credential: PHD
Phone: 605-250-1200