AVERA AT HOME (NPI# 1740313121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740313121 |
| 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 |
| Mailing Telephone | 6503221872 |
| Mailing Fax Number | 6053221892 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | MS. SANDRA D DIELEMAN (CEO/PRESIDENT) |
| Authorized Official Telephone | 6053223984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9550320 | 05 |
| 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 |
| 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 |
| 1124023825 | Avera At Home | Hospice, Inpatient | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2005-06-17 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649464751 | Everyone Living Independently Inc | Home Health | 1136 N 8th St, Mitchell, IN 47446-8006 | 2007-08-31 |
| 1215932918 | Avera At Home | Home Health | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2005-06-17 |
| 1891790564 | Hoosier Uplands Economic Development Corporation | Home Health | 500 W. Main Street, Mitchell, IN 47446-1411 | 2005-06-17 |
| 1801016597 | Hoosier Uplands Hospice | Home Health | 1500 West Main Street, Mitchell, IN 47446 | 2007-04-26 |
| 1720047616 | Dpt Inc | Home Health | 1319 West Havens, Mitchell, SD 57301 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841826633 | All Nations Interpreters, Inc | Home Health | 102 N Krohn Pl Ste 213, Sioux Falls, SD 57103-1847 | 2020-03-12 |
| 1467949396 | American Seniors | Home Health | 1805 23rd Ave Se, Aberdeen, SD 57401-5697 | 2018-04-17 |
| 1639613912 | Whole Child Wellness, LLC | Home Health | 2340 Deadwood Ave, Suite K, Rapid City, SD 57702-0356 | 2016-12-06 |
| 1093261794 | Prairie Care Home Health LLC | Home Health | 300 North Fairgrounds Street, Faith, SD 57626-0061 | 2016-09-01 |
| 1336594753 | Universal Nursing Services, Ltd | Home Health | 4300 S Technology Dr, Sioux Falls, SD 57106-4212 | 2016-05-04 |
| 1770937807 | Prosperous Home Health LLC | Home Health | 400 N Main Ave, Suite 204, Sioux Falls, SD 57104-5914 | 2016-04-14 |
| 1891168746 | Grace of The Pines Home Health LLC | Home Health | 646 Jennings Ave, Suite 18, Hot Springs, SD 57747-1664 | 2015-11-01 |
| 1386011898 | Multicultural Home Health Services, LLC | Home Health | 616 N Lewis Ave Apt V, Sioux Falls, SD 57103-1026 | 2015-09-01 |
| 1093191850 | Touching Lives Caregiver, LLC | Home Health | 2 N. Plum St, Vermillion, SD 57069 | 2015-08-04 |
| 1043616329 | The Evangelical Lutheran Good Samaritan Society | Home Health | 1104 Jackson Blvd Ste B, Rapid City, SD 57702-4399 | 2014-11-13 |
| 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.