Provider Demographics
NPI:1942001722
Name:MORSE, TODD
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:
Last Name:MORSE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 AMERICAS WAY
Mailing Address - Street 2:PMB 19665
Mailing Address - City:BOX ELDER
Mailing Address - State:SD
Mailing Address - Zip Code:57719-7600
Mailing Address - Country:US
Mailing Address - Phone:701-361-7201
Mailing Address - Fax:
Practice Address - Street 1:33125 MEYER BEACH DR
Practice Address - Street 2:
Practice Address - City:DENT
Practice Address - State:MN
Practice Address - Zip Code:56528-9041
Practice Address - Country:US
Practice Address - Phone:701-361-7201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities