AVERA AT HOME (NPI# 1124023825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124023825 |
| Entity Type | Organization |
| Organization Name | AVERA AT HOME |
| Other Organization Name | AVERA@HOME |
| Practice Address |
1115 E 5th Ave Mitchell SD 57301-2917 |
| Mailing Address |
Po Box 5045 Sioux Falls SD 57117-5045 |
| Practice Telephone | 6059952268 |
| Practice Fax Number | 6059955624 |
| Mailing Telephone | 6063321872 |
| Mailing Fax Number | 6053221892 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | MRS. SANDRA DIELEMAN (CEO/PRESIDENT) |
| Authorized Official Telephone | 6053223984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | N/A | SD | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Avera@Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649691320 | Avera At Home | Home Health | 3901 W 59th St, Sioux Falls, SD 57108-2307 | 2013-12-23 |
| 1720001936 | Avera At Home | Home Health | 826 N 8th Street, Estherville, IA 51334-1528 | 2006-07-26 |
| 1467474239 | Avera At Home | Hospice Care, Community Based | 4509 Prince of Peace Pl, Hospice Unit, Sioux Falls, SD 57103-5830 | 2006-07-24 |
| 1811931538 | Avera At Home | Home Health | 209 E Benton St, Ste 110, Oneill, NE 68763-1523 | 2006-06-15 |
| 1912958877 | Avera At Home | Home Health | 201 S. Lloyd Street, Ste 210 W, Aberdeen, SD 57401-4527 | 2006-05-15 |
| 1215932918 | Avera At Home | Home Health | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2005-06-17 |
| 1194136606 | Avera At Home | Hospice Care, Community Based | 826 N 8th St, Estherville, IA 51334-1528 | 2014-05-19 |
| 1811307002 | Avera At Home | In Home Supportive Care | 604 1st St Ne, Wessington Springs, SD 57382-2166 | 2014-04-28 |
| 1841600038 | Avera At Home | In Home Supportive Care | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2014-04-28 |
| 1346660693 | Avera At Home | Home Health | 400 Park Ave, Gregory, SD 57533-1302 | 2014-04-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | AVERA AT HOME | 3901 W. 59th Street, Sioux Falls, SD 57108 |
| Street Address |
1115 E 5TH AVE |
| City | MITCHELL |
| State | SD |
| Zip Code | 57301-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932918 | Avera At Home | Home Health | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2005-06-17 |
| 1861740151 | Avera Queen of Peace | Urology | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2012-08-17 |
| 1962648287 | Prairie Family Healthcare, P.C. | Clinic/Center | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2008-12-17 |
| 1871757617 | James Michael Hayes | Counselor | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2008-07-10 |
| 1740313121 | Avera At Home | Home Health | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2007-03-14 |
| 1518002823 | Catholic Family Services | Counselor | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2007-02-21 |
| 1508937087 | Arturo Zambrano | Counselor | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2006-11-13 |
| 1639271034 | Lucio N Margallo II | Internal Medicine | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2006-09-05 |
| 1588662688 | Diane L Kenkel | Nurse Practitioner | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721388 | Dakota Counseling Institute | Social Worker | 910 W Havens, Mitchell, SD 57301 | 2020-05-08 |
| 1215588512 | Carolyn Marie Klinkhammer | Registered Nurse | 525 North Foster - Avera Queen of Peace Hospital, Mitchell, SD 57301 | 2019-09-27 |
| 1720596893 | Brian Bannwarth | Pharmacist | 25147 Campground Road, Mitchell, SD 57301 | 2018-01-11 |
| 1336664135 | Haley Long | Speech-Language Pathologist | 200 East Havens, Mitchell, SD 57301 | 2017-08-14 |
| 1770004996 | Edgewood Mitchell LLC | Assisted Living Facility | 501 East Spruce Street, Mitchell, SD 57301 | 2017-06-28 |
| 1467831685 | Amanda Louise Johnson | Physical Therapist | 910 S Edgerton, Mitchell, SD 57301 | 2015-05-20 |
| 1922432830 | Melissa Jill Maier | Dentist | 240 E 23 Ave, Mitchell, SD 57301 | 2013-08-27 |
| 1356626972 | Lewis Family Drug, LLC | Pharmacy | 1507 N Main St, Mitchell, SD 57301 | 2011-10-14 |
| 1184945958 | Kimberly L Lienemann | Counselor | 403 N Lawler St, Mitchell, SD 57301 | 2010-06-16 |
| 1134365554 | Gronsten-maier Dental Prof. LLC | Dentist | 240 E. 23rd Avenue, Mitchell, SD 57301 | 2009-01-07 |
| Find all providers in zip 57301 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639629256 | Monument Health Home Plus, LLC | Hospice, Inpatient | 224 Elk St, Rapid City, SD 57701-7359 | 2016-10-06 |
| 1679023204 | Monument Health Home Plus, LLC | Hospice, Inpatient | 1440 N Main St, Spearfish, SD 57783-1505 | 2016-10-06 |
| 1104262070 | Avera Sacred Heart Hospital | Hospice, Inpatient | 501 Summit St, Yankton, SD 57078-3855 | 2013-05-17 |
| 1821360694 | Autumn Winds LLC | Hospice, Inpatient | 2905 Douglas Ave, Yankton, SD 57078-5123 | 2012-02-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.