Provider Demographics
NPI:1164286969
Name:THE BASIN AND THE TOWEL
Entity Type:Organization
Organization Name:THE BASIN AND THE TOWEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVANT LEADER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAYDEKON ALPHEAUS
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-860-3620
Mailing Address - Street 1:5520 E BLARNEY PL APT 20
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-3714
Mailing Address - Country:US
Mailing Address - Phone:240-860-3620
Mailing Address - Fax:
Practice Address - Street 1:5520 E BLARNEY PL APT 20
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-3714
Practice Address - Country:US
Practice Address - Phone:240-860-3620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty