Healthcare Provider Details

I. General information

NPI: 1669473823
Provider Name (Legal Business Name): JRK SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 INDIANA ST
RAPID CITY SD
57701-5858
US

IV. Provider business mailing address

725 INDIANA ST
RAPID CITY SD
57701-5858
US

V. Phone/Fax

Practice location:
  • Phone: 605-348-5885
  • Fax: 605-348-8262
Mailing address:
  • Phone: 605-348-5885
  • Fax: 605-348-8262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CHRISTINE BAIRD
Title or Position: ADMINISTRATOR
Credential:
Phone: 605-348-5885