A.W. HOLDINGS, LLC — NPI 1972077360 (Licensed & Credentialed Case Manager/Care Coordinator in SPEARFISH, SD)

CMS-1500 Box 24J / 33a • NPI

1972077360

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

171M00000X

Licensed & Credentialed Case Manager/Care Coordinator

Box 32 Service Location & ZIP+4

3240 1ST AVE, SPEARFISH, SD, 57783-3209

✓ 9-Digit EDI 837 ZIP+4 (57783-3209)

Practice Phone & Referral Fax

(605) 644-7370

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972077360 (A.W. HOLDINGS, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1972077360` (NPI-2 Organization / Facility)
Provider / Legal Name	A.W. HOLDINGS, LLC
Plain-English Specialty	Licensed & Credentialed Case Manager/Care Coordinator NUCC Code: `171M00000X` (Case Manager/Care Coordinator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3240 1ST AVE, SPEARFISH, SD, 57783-3209
Practice Telephone / Fax	Tel: (605) 644-7370
Administrative Mailing Address	8515 BLUFFTON RD, FORT WAYNE, IN, 46809-3022
Enumeration & Last Sync	Enumerated: 2019-01-18 \| CMS Record Updated: 2019-02-21
Authorized Official	NANCY BOBAY (Chief Compliance Officer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3240 1ST AVE, SPEARFISH, SD, 57783-3209

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Plain-English Taxonomy & CMS Crosswalk (171M00000X)

What Does Taxonomy Code 171M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171M00000X translates to:
"Licensed & Credentialed Case Manager/Care Coordinator"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Manager/Care Coordinator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A.W. HOLDINGS, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251X00000X` — Supports Brokerage Plain English: Licensed & Credentialed Supports Brokerage	State: N/A \| License: `Verified` \| Primary: Secondary
`171M00000X` — Case Manager/Care Coordinator Plain English: Licensed & Credentialed Case Manager/Care Coordinator	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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A.W. HOLDINGS, LLC (NPI #1972077360)