Provider Demographics
NPI:1265680474
Name:STATE HOME CARE SERVICES, INC
Entity Type:Organization
Organization Name:STATE HOME CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:BEEDLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:605-335-3373
Mailing Address - Street 1:900 E 20TH ST
Mailing Address - Street 2:SUITE 317
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-1012
Mailing Address - Country:US
Mailing Address - Phone:605-335-3373
Mailing Address - Fax:
Practice Address - Street 1:900 E 20TH ST
Practice Address - Street 2:SUITE 317
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1012
Practice Address - Country:US
Practice Address - Phone:605-335-3373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health