Healthcare Provider Details
I. General information
NPI: 1669960969
Provider Name (Legal Business Name): DAKOTA CARING COMPANIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/23/2018
Last Update Date: 01/14/2023
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
33780 117TH ST
EUREKA SD
57437-6806
US
IV. Provider business mailing address
33780 117TH ST
EUREKA SD
57437-6806
US
V. Phone/Fax
- Phone: 605-252-0461
- Fax:
- Phone: 605-252-0461
- Fax: 605-284-5307
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | SD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JENNIFER
KIRSCHENMAN
Title or Position: OWNER
Credential: CNA/MA
Phone: 605-252-0461