MEDICARE: HANDS OF HEARTLAND SOUTH DAKOTA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251S00000X	Community/Behavioral Health Agency
4	253Z00000X	In Home Supportive Care Agency
5	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1104624766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS OF HEARTLAND SOUTH DAKOTA LLC

Provider Business Mailing Address
First Line	:	PO BOX 939
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-0939
Country	:	US
Telephone Number	:	402-933-0680
Fax Number	:

Provider Business Practice Location Address
First Line	:	209 GALVIN RD N
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-4852
Country	:	US
Telephone Number	:	402-933-0680
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE COORDINATOR
Name	:	ANNA TODD
Credential	:
Telephone Number	:	817-504-4882

Provider Enumeration Date	:	03/07/2025
Last Update Date	:	03/11/2025

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