Provider Demographics
NPI:1336292754
Name:OAHE, INC.
Entity Type:Organization
Organization Name:OAHE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-224-4501
Mailing Address - Street 1:125 W PLEASANT DR
Mailing Address - Street 2:SUITE #1
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-2403
Mailing Address - Country:US
Mailing Address - Phone:605-224-4501
Mailing Address - Fax:605-224-9619
Practice Address - Street 1:125 W PLEASANT DR
Practice Address - Street 2:SUITE #1
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-2403
Practice Address - Country:US
Practice Address - Phone:605-224-4501
Practice Address - Fax:605-224-9619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities