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Avera at Home

Organization Active NPI Community Based Hospice Care Agency · Yankton, SD

NPI 1003982893 · NPPES record last updated Jun 24, 2026

Key facts

NPI
1003982893
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
AVERA AT HOME
Practice address
1115 W 9TH St
Yankton, SD 57078-3310
Phone
(605) 668-8327
Fax
(605) 668-8338
NPI assigned
Nov 27, 2006
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Other NPIs with the same Medicare PAC ID 14

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

Corporate family (same tax ID) 22

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

Member of 1

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

Facilities with the same owner 90

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

View all 90

Affiliated clinicians 29

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

View all 29

Medicare Care Compare: Hospice

Listed as
Avera @ Home CCN 431505
Ownership
Other
Certified
Aug 24, 1990
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD

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
Corporation · Non-profit
Incorporated
Jun 24, 1987 in SD
Enrollment address
1115 W 9TH St
Yankton, SD 57078-3310

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 Director
Board Member		 Jul 1, 2013
Curtis John Hohman
Individual 		Corporate Director
Board Member		 Jul 1, 2013
Thomas Clark
Individual 		Corporate Director
Board Member		 Jul 1, 2013
Debra Ann Kolecka
Individual 		Corporate Director
Board Member		 Jul 1, 2013
Jamie a Schaefer
Individual 		Corporate Director
Board Member		 Jul 1, 2013
Sandra Diane Dieleman
Individual 		Corporate Officer
President Adn Ceo		 Jul 1, 2013
Corporate Director
President and Ceo		 Jul 1, 2013
Doris M Derynck
Individual 		Corporate Director
Board Member		 Jul 1, 2013
Avera Health
Organization · Sioux Falls, SD
Non-profit 		Operational/Managerial Control Nov 1, 2013
Tom J Snyder
Individual 		Corporate Director
Director		 Jul 1, 2013
Karen Gallagher
Individual 		Corporate Director
Board Member		 Jul 1, 2015
Rhonda J Wiering
Individual 		W-2 Managing Employee
Regional Director		 Jul 1, 2015
Jill R Nuebel
Individual 		W-2 Managing Employee
Manager		 Oct 16, 2014

Medicare enrollment records

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

National Provider Directory

Tax ID family
Avera at Home (23 organizations share this tax ID)

Specialties & licenses

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

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

  • Avera@Home Doing business as

Other providers in Yankton, SD

All providers in Yankton, SD · Community Based Hospice Care Agency in South Dakota

Sources for this page

Verify at the official NPI Registry.