Human Service Agency in Watertown - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Human Service Agency - NPI 1720074644
Human Service Agency is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Watertown, South Dakota. Human Service Agency practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Human Service Agency is 1720074644. The last update date is 2022-04-11.
Human Service Agency's current location address is Po Box 1030, Watertown, South Dakota. You can contact this provider via phone number 6058860123 and fax number 6058865447. The mailing address for Human Service Agency is Po Box 1030, Watertown, South Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Human Service Agency |
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Address | Po Box 1030, Watertown, South Dakota |
Phone Number | 6058860123 |
Fax Number | 6058865447 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Sherman F Charles |
Credentials | PHD |
Telephone Number | 6058860123 |
NPI Number Detail
NPI Number | 1720074644 |
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Provider Enumeration Date | 2005-09-26 |
Last Updated Date | 2022-04-11 |
Provider Mailing Address Detail
Address | Po Box 1030 |
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City | Watertown |
State | South Dakota (SD) |
Post Code | 572016030 |
Phone Number | 6058860123 |
Fax Number | 6058865447 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Taxonomy | 320900000X |
Licence No | 6 |
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
5261010 | SD | -- | |
5200010 | SD | -- | |
5255010 | SD | -- | |
5001040 | SD | -- | |
5256010 | SD | -- | |
180020 | SD | -- |
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What is the unique identification code assigned to Human Service Agency by the Centers for Medicare & Medicaid Services?
The Human Service Agency has been issued the NPI (National Provider Identifier) 1720074644. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Human Service Agency?
The Human Service Agency is situated at Po Box 1030, in the city of Watertown, state of SD, with the zip code 572016030.
What is Human Service Agency's area of expertise and its corresponding taxonomy classification?
The Human Service Agency's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1720074644 assigned to Human Service Agency?
The Human Service Agency was issued its 1720074644 on 2005-09-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Human Service Agency's details last updated?
The information pertaining to the Human Service Agency, including its address, specialty, and other details, was most recently updated on 2022-04-11.
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