Provider Demographics
NPI:1902972631
Name:SCHOEPP LLC
Entity type:Organization
Organization Name:SCHOEPP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHOEPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-881-5541
Mailing Address - Street 1:20 1ST ST NW
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:SD
Mailing Address - Zip Code:57201
Mailing Address - Country:US
Mailing Address - Phone:605-881-5541
Mailing Address - Fax:605-753-9909
Practice Address - Street 1:2500 W 46TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105
Practice Address - Country:US
Practice Address - Phone:605-977-6513
Practice Address - Fax:605-275-8877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9550580Medicaid