Provider Demographics
NPI:1043407000
Name:SANFORD HOME HEALTH
Entity Type:Organization
Organization Name:SANFORD HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:605-328-5903
Mailing Address - Street 1:2710 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-3701
Mailing Address - Country:US
Mailing Address - Phone:605-328-4440
Mailing Address - Fax:
Practice Address - Street 1:110 W BEEBE AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:CHAMBERLAIN
Practice Address - State:SD
Practice Address - Zip Code:57325-1224
Practice Address - Country:US
Practice Address - Phone:605-734-0180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based