Provider Demographics
NPI:1669960969
Name:DAKOTA CARING COMPANIONS LLC
Entity type:Organization
Organization Name:DAKOTA CARING COMPANIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRSCHENMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA/MA
Authorized Official - Phone:605-252-0461
Mailing Address - Street 1:33780 117TH ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:SD
Mailing Address - Zip Code:57437-6806
Mailing Address - Country:US
Mailing Address - Phone:605-252-0461
Mailing Address - Fax:605-284-5307
Practice Address - Street 1:33780 117TH ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:SD
Practice Address - Zip Code:57437-6806
Practice Address - Country:US
Practice Address - Phone:605-252-0461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD251E00000X
251J00000X, 347C00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD20180507710214Medicaid