Healthcare Provider Details

I. General information

NPI: 1891607438
Provider Name (Legal Business Name): SIOUX SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5311 S SYCAMORE AVE STE 113
SIOUX FALLS SD
57108-8894
US

IV. Provider business mailing address

5311 S SYCAMORE AVE STE 113
SIOUX FALLS SD
57108-8894
US

V. Phone/Fax

Practice location:
  • Phone: 612-707-3132
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: AHMED M ABDILAHI
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential:
Phone: 612-707-3132