AVERA AT HOME (NPI# 1912958877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912958877 |
| Entity Type | Organization |
| Organization Name | AVERA AT HOME |
| Other Organization Name | AVERA@HOME |
| Practice Address |
201 S. Lloyd Street Ste 210 W Aberdeen SD 57401-4527 |
| Mailing Address |
Po Box 5045 Sioux Falls SD 57117-5045 |
| Practice Telephone | 6056225200 |
| Practice Fax Number | 6056225201 |
| Mailing Telephone | 6053221872 |
| Mailing Fax Number | 6053221892 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-07-01 |
| 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 |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 4069A | ND | Agencies |
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 59723 | 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 |
| 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 |
201 S. LLOYD STREET STE 210 W, |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194777961 | Avera At Home | Hospice Care, Community Based | 201 S. Lloyd Street, Ste. 210 W., Aberdeen, SD 57401-4527 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| 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 |
|---|---|---|---|---|
| 1790399756 | Jessica Lynn Nickerson | Home Health | 245 Elm St, Aberdeen, OH 45101 | 2020-09-06 |
| 1396232799 | Arlita L Lesesne | Home Health | 1394 Tralee Cir, Aberdeen, MD 21001-2642 | 2018-04-20 |
| 1467949396 | American Seniors | Home Health | 1805 23rd Ave Se, Aberdeen, SD 57401-5697 | 2018-04-17 |
| 1770867913 | Village Caregivers, LLC | Home Health | 1902 N Sandhills Blvd Ste D, Aberdeen, NC 28315-2347 | 2011-10-06 |
| 1053613513 | Chosen Home Health Care Agency | Home Health | 105 Fullers Way, Aberdeen, NC 28315-4155 | 2010-12-03 |
| 1164565198 | Unique Health Solutions Inc | Home Health | 707 S Pinehurst St, Suite C, Aberdeen, NC 28315-1844 | 2007-02-15 |
| 1194866251 | Angelkare Home Caregiving Services | Home Health | 801 12th Ave Se, Aberdeen, SD 57401-7215 | 2007-02-10 |
| 1609955012 | Quality Nursing Agency LLC | Home Health | 11 N Parke St, Suite A, Aberdeen, MD 21001-2415 | 2006-11-04 |
| 1164479689 | Josephine's Durable Medical Equp. Supplies | Home Health | 23 Defense Dr, Aberdeen, MD 21001-3805 | 2006-05-29 |
| 1205496668 | Agape Love Home Health | Home Health | 4989 Bristle Cone Cir, Aberdeen, MD 21001-2605 | 2019-06-18 |
| Find all providers in ABERDEEN | ||||
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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.