AVERA AT HOME (NPI# 1346660693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346660693 |
| Entity Type | Organization |
| Organization Name | AVERA AT HOME |
| Other Organization Name | AVERA@HOME |
| Practice Address |
400 Park Ave Gregory SD 57533-1302 |
| Practice Telephone | 6058355263 |
| Practice Fax Number | 6058358406 |
| Mailing Telephone | 6058355263 |
| Mailing Fax Number | 6058358406 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |
| Authorized Official Name | SANDRA D DIELEMAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 6053223984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| 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 |
| 1336579127 | Avera At Home | Home Health | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2013-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | AVERA AT HOME | 3901 W. 59th Street, Sioux Falls, SD 57108 |
| Street Address |
400 PARK AVE |
| City | GREGORY |
| State | SD |
| Zip Code | 57533-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811091473 | Avera Mckennan | Home Health | 400 Park Ave, Gregory, SD 57533-1302 | 2006-09-12 |
| 1487176202 | Tanae Kartak | Occupational Therapist | 400 Park Ave, Gregory, SD 57533-1302 | 2017-07-13 |
| 1861841710 | Lacy Krysl | Occupational Therapist | 400 Park Ave, Gregory, SD 57533-1302 | 2016-06-10 |
| 1326495409 | Avera Mckennan | Clinic/Center | 400 Park Ave, Gregory, SD 57533-1302 | 2016-05-19 |
| 1720435068 | Justin Hood | Physical Therapist | 400 Park Ave, Gregory, SD 57533-1302 | 2016-05-17 |
| 1770939530 | Avera Gregory | General Acute Care Hospital | 400 Park Ave, Gregory, SD 57533-1302 | 2016-05-11 |
| 1417215740 | Avera Mckennan | Medicare Defined Swing Bed Unit | 400 Park Ave, Gregory, SD 57533-1302 | 2012-04-24 |
| 1083896294 | James Michael Arlt | Nurse Anesthetist, Certified Registered | 400 Park Ave, Gregory, SD 57533 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438110 | Lesley Lynn Holmes | Social Worker | 841 S Jackson St Suite C, Burke, SD 57533 | 2020-05-12 |
| 1952554537 | Donald Eli Nemer | Dentist | 616 Whittecar Ave., Gregory, SD 57533 | 2008-10-28 |
| 1184826547 | Gregory Assisted Living | Assisted Living Facility | 210 E 12th Street, Gregory, SD 57533 | 2007-06-05 |
| 1184711061 | Total Renal Care | Clinic/Center | 400 Park, Gregory, SD 57533 | 2006-10-10 |
| 1720170194 | Benjamin Andrew Stukel | Chiropractor | 114 E 6th St, Gregory, SD 57533 | 2006-09-29 |
| 1912995515 | Gregory Drug | Pharmacy | 604 Main, Gregory, SD 57533 | 2005-10-09 |
| 1104962794 | Braun Chiropractic Center | Chiropractor | 114 E 6th St, Gregory, SD 57533 | 2007-01-30 |
| 1255435814 | Avera Mckennan | General Acute Care Hospital | 400 Park Ave., Gregory, SD 57533-0408 | 2006-09-12 |
| 1184687071 | City of Gregory | Ambulance | 120 W 6th St, Gregory, SD 57533-0411 | 2006-04-11 |
| 1447400700 | Silver Threads, Inc. | Assisted Living Facility | 210 E 12th St, Gregory, SD 57533-1181 | 2008-09-23 |
| Find all providers in zip 57533 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442114 | Jallah Kpanquoi | In Home Supportive Care | 3905 S Grand Slam Pl Apt 7, Sioux Falls, SD 57110-4821 | 2019-11-22 |
| 1992349997 | Bethany Homecare | In Home Supportive Care | 1821 E 10th St, Sioux Falls, SD 57103-1806 | 2019-11-01 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093267064 | Sedd Enterprises LLC | In Home Supportive Care | 2620 Holiday Ln, Rapid City, SD 57702-5387 | 2016-10-26 |
| 1164973640 | Touching Lives Caregiver, LLC | In Home Supportive Care | 1016 Westend Dr, Vermillion, SD 57069-1746 | 2016-10-19 |
| 1346653003 | Day & Night Home Care Services | In Home Supportive Care | 321 Kansas City St Ste 128, Rapid City, SD 57701-2820 | 2014-06-10 |
| 1497009732 | Western Resources for Independent Living | In Home Supportive Care | 4110 Winfield Ct, Rapid City, SD 57701-8306 | 2012-11-08 |
| 1942574561 | Care-a-lot Elder Care, LLC | In Home Supportive Care | 34825 254th St, Pukwana, SD 57370-6412 | 2012-02-29 |
| 1043590334 | Kreber Homecare, LLC | In Home Supportive Care | 319 Dakota Dunes Blvd, Suite D, Dakota Dunes, SD 57049-5349 | 2011-08-18 |
| 1548552029 | Homelife Solutions, Inc | In Home Supportive Care | 805 Lakota Ave, Brandon, SD 57005-1904 | 2011-05-03 |
| Find all providers with the same taxonomy | ||||
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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.