Healthcare Provider Details

I. General information

NPI: 1871497511
Provider Name (Legal Business Name): COMMUNITY LIVING HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 S GRINNELL AVE
SIOUX FALLS SD
57106-5106
US

IV. Provider business mailing address

2220 S GRINNELL AVE
SIOUX FALLS SD
57106-5106
US

V. Phone/Fax

Practice location:
  • Phone: 605-789-0732
  • Fax:
Mailing address:
  • Phone: 605-789-0732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: ABEL USHA ARGO
Title or Position: OWNER
Credential:
Phone: 605-789-0732