OUR HOME INC NPI 1013058718

NPI Information

NPI: 1013058718
Provider Name: OUR HOME INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
334 3RD ST SW
HURON, SD
ZIP 57350
Phone: (605) 352-4368
Get Directions

OUR HOME INC is a residential treatment facility emotionally disturbed children in Huron, SD. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. OUR HOME INC NPI is 1013058718. The provider is registered as an organization entity type.

The provider's business location address is:

334 3RD ST SW
HURON, SD
ZIP 57350-418
Phone: (605) 352-4368
Fax: (605) 352-4976

The provider's authorized official is Steve Gubbrud .
The authorized official title is Executive Director and has the following contact phone number (605) 352-4368.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		R97	SOUTH DAKOTA	No
2	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	408	SOUTH DAKOTA	No
3	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		R130	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	5000090	MEDICAID	SOUTH DAKOTA
2	5160140	MEDICAID	SOUTH DAKOTA
3	5160132	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »