AVERA AT HOME (NPI# 1467474239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467474239 |
| Entity Type | Organization |
| Organization Name | AVERA AT HOME |
| Other Organization Name | AVERA@HOME |
| Practice Address |
4509 Prince of Peace Pl Hospice Unit Sioux Falls SD 57103-5830 |
| Mailing Address |
Po Box 5045 Sioux Falls SD 57117-5045 |
| Practice Telephone | 6053225490 |
| Practice Fax Number | 6053223179 |
| Mailing Telephone | 6053221872 |
| Mailing Fax Number | 6053221892 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | SANDRA D DIELEMAN (CEO/PRESIDENT) |
| Authorized Official Telephone | 6053223984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 10563 | SD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0929828 | 05 | |
| MN | BLUE CROSS OF MINNESOTA | 1484AMC | 01 |
| Other Name | Type Code |
|---|---|
| Avera@Home | Other Name - Individual/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 |
| 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 |
| 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 |
4509 PRINCE OF PEACE PL HOSPICE UNIT |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57103-5830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072858 | Tasha Leigh Vanrooyen | Massage Therapist | 3400 Southeastern Avenue, Sioux Falls, SD 57103 | 2018-11-20 |
| 1407377328 | Minnehaha Health Supplies | Durable Medical Equipment & Medical Supplies | Sioux Falls - Cna Building, 101 South Reid Street, Suite 307, Sioux Falls, SD 57103 | 2017-06-30 |
| 1811378771 | African Community Center of Sioux Falls | Non-emergency Medical Transport (VAN) | 1515 East 10th Street, Sioux Falls, SD 57103 | 2015-06-16 |
| 1033596861 | Raichatou Ann Jackson | Clinical Nurse Specialist | 4308 Est 9th St, Sioux Falls, SD 57103 | 2015-04-30 |
| 1538551668 | Wendy Jo Kranzler | Occupational Therapist | 4500 Prince of Peace, Sioux Falls, SD 57103 | 2015-02-26 |
| 1932477205 | Alpha Sigma Health Group, Inc. | Home Health | 2804 East 26th Street, Lower Level, Sioux Falls, SD 57103 | 2011-12-01 |
| 1629207089 | Andrea R Tuley | Registered Nurse | 1312 E. 11th Street, Sioux Falls, SD 57103 | 2009-07-07 |
| 1891920054 | Great Plains Chiropractic & Wellness LLC | Chiropractor | 3233 S. Sycamore Ave., Sioux Falls, SD 57103 | 2009-05-18 |
| 1841430162 | Martin Frank Petereit | Radiology | 1600 E. Cedar Lane, Retired Radiologist, Sioux Falls, SD 57103 | 2009-02-26 |
| 1255518619 | Mobile Sonographers Inc | Spec/Tech, Cardiovascular | 2307 E Harriet Lea St, Sioux Falls, SD 57103 | 2008-01-29 |
| Find all providers in zip 57103 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255358248 | Hospice Preferred Choice, Inc. | Hospice Care, Community Based | 528 N Sycamore Ave, Sioux Falls, SD 57110-5737 | 2006-07-16 |
| 1679572366 | Sanford Home Health | Hospice Care, Community Based | 2710 W 12th St, Sioux Falls, SD 57104-3701 | 2005-07-15 |
| 1215930847 | Compassionate Care Hospice of The Midwest, LLC | Hospice Care, Community Based | 3415 N Potsdam Ave, Sioux Falls, SD 57104-7017 | 2005-05-27 |
| 1386129666 | Caringedge Hospice of Sioux Falls | Hospice Care, Community Based | 1810 S Dorothy Ave, Sioux Falls, SD 57106-3826 | 2018-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811340821 | Crystal Clear Solutions L.L.C. | Hospice Care, Community Based | 110 E Center St # 2999, Madison, SD 57042-2908 | 2016-07-14 |
| 1518338227 | Grace of The Pines Hospice LLC | Hospice Care, Community Based | 145 N Chicago St, Hot Springs, SD 57747-1631 | 2015-10-08 |
| 1043407000 | Sanford Home Health | Hospice Care, Community Based | 110 W Beebe Ave, Suite 1, Chamberlain, SD 57325-1224 | 2007-10-03 |
| 1952375164 | Regional Health Network Inc | Hospice Care, Community Based | 1440 North Main Street, Spearfish, SD 57783-1505 | 2006-02-14 |
| 1952886236 | Caringedge Hospice of Pierre | Hospice Care, Community Based | 1950 E 4th St, Pierre, SD 57501-4201 | 2018-10-02 |
| 1992280275 | Caringedge Hospice of Spearfish | Hospice Care, Community Based | 540 Falcon Crest Dr, Spearfish, SD 57783-3252 | 2018-10-02 |
| 1427488212 | Avera At Home | Hospice Care, Community Based | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2013-11-15 |
| 1376791657 | Compassionate Care Hospice of The Hills, LLC | Hospice Care, Community Based | 602 Mount Rushmore Rd, Suite 2, Custer, SD 57730-2046 | 2008-08-29 |
| 1659560399 | Sanford Home Health | Hospice Care, Community Based | 745 E 8th St, Winner, SD 57580-2631 | 2007-10-18 |
| 1043407091 | Sanford Home Health | Hospice Care, Community Based | 510 E 8th St, Freeman, SD 57029-2086 | 2007-10-03 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX FALLS |
| Zip Code | 57103 |
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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.