AVERA ST MARYS (NPI# 1841511904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841511904 |
| Entity Type | Organization |
| Organization Name | AVERA ST MARYS |
| Other Organization Name | MARYHOUSE ADULT DAY CARE |
| Practice Address |
801 E Sioux Ave Pierre SD 57501 |
| Mailing Address |
Po Box 5045 Attn: P.f.s. Prov Enrollment Sioux Falls SD 57117-5045 |
| Practice Telephone | 6052243100 |
| Practice Fax Number | 6052248339 |
| Mailing Telephone | 6053226428 |
| Mailing Fax Number | 6052248339 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2017-07-31 |
| Authorized Official Name | TODD FORKEL (CEO) |
| Authorized Official Telephone | 6052243100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
10662 | SD | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Maryhouse Adult Day Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992713457 | Avera St Marys | Medicare Defined Swing Bed Unit | 801 East Sioux Ave, Pierre, SD 57501-3323 | 2006-08-03 |
| 1669457180 | Avera St Marys | General Acute Care Hospital | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2005-12-07 |
| 1720326713 | Avera St Marys | General Acute Care Hospital | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2013-01-25 |
| 1841505807 | Avera St Marys | General Acute Care Hospital | 100 Mac Ln, Pierre, SD 57501-3391 | 2010-08-16 |
| 1063654648 | Avera St Marys | Skilled Nursing Facility | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2009-03-30 |
| 1710995626 | Avera St Marys | Home Health | 801 E Sioux Ave, Pierre, SD 57501 | 2006-08-04 |
| 1629086533 | Avera St Marys | Hospice Care, Community Based | 801 E Sioux Ave, Pierre, SD 57501 | 2006-08-04 |
| 1144238619 | Avera St Marys | Clinic/Center | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2006-08-03 |
| Street Address |
801 E SIOUX AVE |
| City | PIERRE |
| State | SD |
| Zip Code | 57501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669457180 | Avera St Marys | General Acute Care Hospital | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2005-12-07 |
| 1952902165 | Kenna Wieczorek | Occupational Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2020-11-04 |
| 1811519325 | Deborah Ann Holland | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2020-05-07 |
| 1750900528 | Sierra Irwin | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2020-04-13 |
| 1780240994 | Michael Patrick Murphy | Nurse Anesthetist, Certified Registered | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2019-05-13 |
| 1114406261 | Amy Weller | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2018-08-09 |
| 1467807917 | Joseph Swedzinski | Family Medicine | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-05-03 |
| 1396199337 | Ann Shoup | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-04-15 |
| 1508220724 | Carrie J Larson | Occupational Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-04-13 |
| 1104280296 | Erica Trebesch | Nurse Anesthetist, Certified Registered | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420694 | Shawna K Fullerton | Social Worker | 1309 E Wells Ave, Pierre, SD 57501 | 2019-04-07 |
| 1841779758 | Joanne Sarringar | Physical Therapist | 801 E. Sioux Avenue, Pierre, SD 57501 | 2018-08-10 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1417232166 | Louis J Van Roekel | Pharmacist | 100 E Sioux, Pierre, SD 57501 | 2011-10-13 |
| 1508164401 | Bechtold Thompson Dental Clinic | Dentist | 640 E. Sioux Ave, Pierre, SD 57501 | 2011-03-02 |
| 1417180969 | Dentistry At The St. Charles LLC | Dentist | 207 E. Capitol Ave. Ste 201, Pierre, SD 57501 | 2009-09-01 |
| 1063663995 | Buron O. Lindbloom | Family Medicine | 3200 E. Hwy 34, S.d. Womens Prison, Pierre, SD 57501 | 2008-10-09 |
| 1831221522 | Curt C Kuehl | Chiropractor | 430 W Sioux Ave, Pierre, SD 57501 | 2007-03-09 |
| 1376603092 | Tim Wald | Physical Therapist | 1012 Woodview Dr #20, Pierre, SD 57501 | 2006-12-11 |
| 1184702540 | Tami Lynn Hogie-lorenzen | Nurse Practitioner | 1714 Abbey Road, Pierre, SD 57501 | 2006-11-02 |
| Find all providers in zip 57501 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770968554 | Convenience Home Health-aide | Custodial Care Facility | 809 N West Ave Apt 305, Sioux Falls, SD 57104-5740 | 2015-07-22 |
| 1578980264 | Vicki Kennedy | Custodial Care Facility | 808 E 3rd St, Dell Rapids, SD 57022-2008 | 2014-03-20 |
| 1346495017 | Wisdom In Age LLC | Custodial Care Facility | 3704 W Main St, Rapid City, SD 57702-2139 | 2008-11-23 |
| 1982824439 | Health Management Services | Custodial Care Facility | 501 Summit St, Yankton, SD 57078-3855 | 2007-04-26 |
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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.