AVERA AT HOME (NPI# 1841600038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841600038 |
| Entity Type | Organization |
| Organization Name | AVERA AT HOME |
| Other Organization Name | AVERA@HOME |
| Practice Address |
401 W Glynn Dr Parkston SD 57366-9605 |
| Practice Telephone | 6059283311 |
| Practice Fax Number | 6059284417 |
| Mailing Telephone | 6059283311 |
| Mailing Fax Number | 6059284417 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |
| 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 |
|---|---|---|---|---|---|
| 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 |
| 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 |
401 W GLYNN DR |
| City | PARKSTON |
| State | SD |
| Zip Code | 57366-9605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982695656 | Candyce J Scherr | Physician Assistant | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2005-11-02 |
| 1962936856 | Paul David Berndt | Family Medicine | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2017-04-18 |
| 1447799846 | Heather Hisek-prunty | Physical Therapist | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2017-02-17 |
| 1811436264 | Rebecca Schultz | Physical Therapist | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2017-02-17 |
| 1629461520 | Vicki Lubbers | Nurse Practitioner | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2015-03-17 |
| 1811310113 | Amanda Whittington | Physical Therapist | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2014-01-23 |
| 1770867715 | Lindsay Rae Weber | Nurse Practitioner | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2011-10-10 |
| 1912216474 | Avera St Benedict Health Center | General Acute Care Hospital | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2010-10-01 |
| 1184944860 | Denise A Leischner | Physical Therapist | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2010-06-04 |
| 1033365333 | St Benedict Health Center | Assisted Living Facility | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2008-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578635108 | Varney Pharmacy LLC | Pharmacy | 102 West Main, Parkston, SD 57366 | 2006-11-15 |
| 1821185414 | St Benedict Health Center | Assisted Living Facility | 401 W Glynn Drive, Parkston, SD 57366 | 2006-10-06 |
| 1215959770 | Leroy Kaufman | Optometrist | 118 E Main, Parkson, SD 57366 | 2006-07-24 |
| 1912990565 | Jessica Ann Wolf | Chiropractor | 103 West Glynn Drive, Parkston, SD 57366 | 2005-08-30 |
| 1255896072 | Dynamic Chiropractic Prof LLC | Chiropractor | 310 E Main St, Parkston, SD 57366 | 2019-02-06 |
| 1730208919 | Parkston Rural Ambulance District | Ambulance | 207 W Main St, Parkston, SD 57366 | 2007-03-28 |
| 1922196385 | St Benedict Health Center | Skilled Nursing Facility | 401 W Glynn Drive, Parkston, SD 57366 | 2006-10-11 |
| 1285659466 | Parkston Chiropractic Clinic, Prof. L.L.C. | Chiropractor | 103 West Glynn Drive, Parkston, SD 57366 | 2006-07-12 |
| 1508933714 | Thomas Herman Neumayr | Pharmacist | 112 S Main St, Parkston, SD 57366-0430 | 2006-11-30 |
| 1801917281 | Parkston Drug Inc | Durable Medical Equipment & Medical Supplies | 112 W Main St, Parkston, SD 57366-2010 | 2007-04-03 |
| Find all providers in zip 57366 | ||||
| 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 |
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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.