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General NPI Number Information
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NPI Number | 1104624766
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Entity Type | Organization
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Legal Business Name | HANDS OF HEARTLAND SOUTH DAKOTA LLC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 209 GALVIN RD N
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City | BELLEVUE
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State | NE
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Zip | 68005-4852
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Country | US
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Telephone | 402-933-0680
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 939
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City | BELLEVUE
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State | NE
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Zip | 68005-0939
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Country | US
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Telephone | 402-933-0680
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE COORDINATOR
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Name | ANNA TODD
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Credential |
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Telephone | 817-504-4882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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