Avera McKennan

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

10563 Issued in SD

Legal business name

AVERA MCKENNAN

Practice address

1016 S Cliff Ave
Home Health
Sioux Falls, SD 57104-5324

Phone

(605) 322-7740

Fax

(605) 322-7777

NPI assigned

Jul 24, 2006

Last updated

Mar 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Norton

Title

VP/Cfo

Phone

(605) 322-6375

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Avera McKennan Home Health Other name

Locations

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1013939826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 21ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051016",
            "telephone_number": "605-322-8000",
            "fax_number": "605-322-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S CLIFF AVE",
            "address_2": "HOME HEALTH",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045324",
            "telephone_number": "605-322-7740",
            "fax_number": "605-322-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "605-322-6375"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SD",
            "license": "10563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9550100",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0514075",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF SD",
            "identifier": "87023",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170270",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera McKennan Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Home Health Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.