Provider Demographics
NPI:1235281635
Name:AURORA PLAINS ACADEMY, LLC
Entity Type:Organization
Organization Name:AURORA PLAINS ACADEMY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-942-5437
Mailing Address - Street 1:1400 EAST 10TH ST.
Mailing Address - Street 2:
Mailing Address - City:PLANKINTON
Mailing Address - State:SD
Mailing Address - Zip Code:57368-2033
Mailing Address - Country:US
Mailing Address - Phone:605-942-5437
Mailing Address - Fax:605-942-5438
Practice Address - Street 1:1400 EAST 10TH ST.
Practice Address - Street 2:
Practice Address - City:PLANKINTON
Practice Address - State:SD
Practice Address - Zip Code:57368-2033
Practice Address - Country:US
Practice Address - Phone:605-942-5437
Practice Address - Fax:605-942-5438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR12450322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5167010Medicaid