Organization Active NPI

Avera at Home

Doing business as Avera@Home

  • Community Based Hospice Care Agency
  • Yankton, SD
National Provider Identifier
1003982893
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AVERA AT HOME
Doing business as
Avera@Home
Practice address
1115 W 9TH St
Yankton, SD 57078-3310
Phone
(605) 668-8327
Fax
(605) 668-8338
NPI assigned
Nov 27, 2006
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandra D. Dieleman
Title
Ceo/President
Phone
(605) 322-3984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1115 W 9TH St
Yankton, SD 57078-3310

Mailing address

PO Box 5045
Sioux Falls, SD 57117-5045
Phone (605) 322-1872

Other names 1

  • Avera@Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140214000201 SD Part A Provider - Hospice 8820224280 Practice locations: Yankton, SD; Hartington, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003982893. Details of each certification follow.

Hospice certification: CCN 431505

Legal name
AVERA AT HOME
Doing business as
AVERA@HOME
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 24, 1990
Last certification
Jul 28, 2022
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Jun 24, 1987 in SD
Enrollment address
1115 W 9TH St
Yankton, SD 57078-3310

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Care Compare: Hospice

Medicare Care Compare
Listed as
Avera @ HomeCCN 431505 · All quality measures
Ownership
Other
Certified
Aug 24, 1990
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Avera at Home23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nathan Brand Individual Corporate Officer Jul 16, 2017
Kathleen Bierne Individual Corporate DirectorBoard Member Jul 1, 2013
Curtis John Hohman Individual Corporate DirectorBoard Member Jul 1, 2013
Thomas Clark Individual Corporate DirectorBoard Member Jul 1, 2013
Debra Ann Kolecka Individual Corporate DirectorBoard Member Jul 1, 2013
Jamie a Schaefer Individual Corporate DirectorBoard Member Jul 1, 2013
Sandra Diane Dieleman Individual Corporate OfficerPresident Adn Ceo Jul 1, 2013
Corporate DirectorPresident and Ceo Jul 1, 2013
Doris M Derynck Individual Corporate DirectorBoard Member Jul 1, 2013
Avera Health Organization, Sioux Falls, SD Non-profit Operational/Managerial Control Nov 1, 2013
Tom J Snyder Individual Corporate DirectorDirector Jul 1, 2013
Karen Gallagher Individual Corporate DirectorBoard Member Jul 1, 2015
Rhonda J Wiering Individual W-2 Managing EmployeeRegional Director Jul 1, 2015
Jill R Nuebel Individual W-2 Managing EmployeeManager Oct 16, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 90

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 90

Practitioners & affiliated clinicians

Affiliated clinicians 29

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1003982893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5045",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175045",
            "telephone_number": "605-322-1872",
            "fax_number": "650-322-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 W 9TH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783310",
            "telephone_number": "605-668-8327",
            "fax_number": "605-668-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "DIELEMAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "605-322-3984"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera@Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera@Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.