Provider Demographics
NPI:1679024103
Name:SD FALLS HOMECARE LLC
Entity Type:Organization
Organization Name:SD FALLS HOMECARE LLC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:REMME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-366-1692
Mailing Address - Street 1:5024 S BUR OAK PL
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2236
Mailing Address - Country:US
Mailing Address - Phone:605-540-4444
Mailing Address - Fax:605-951-9192
Practice Address - Street 1:5024 S BUR OAK PL
Practice Address - Street 2:SUITE 210
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2236
Practice Address - Country:US
Practice Address - Phone:605-540-4444
Practice Address - Fax:605-951-9192
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL LIVING ASSISTANCE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care