Active NPI
Avera Marshall
Doing business as Avera@Home Southwest Minnesota
- Home Health Agency
- Marshall, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AVERA MARSHALL
- Doing business as
- Avera@Home Southwest Minnesota
- Practice address
- 300 S Bruce St
Marshall, MN 56258-1934 - Phone
- (507) 537-7070
- NPI assigned
- Mar 7, 2014
- Last updated
- Dec 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Streier
- Title
- Ceo
- Phone
- (507) 537-9160
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
300 S Bruce St
Marshall, MN 56258-1934
Mailing address
300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 532-9661
Other names 1
- Avera@Home Southwest Minnesota
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140522001096 | MN | Part A Provider - Home Health Agency | 5799695227 | Practice locations: Marshall, MN; Worthington, MN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1033535547. Details of each certification follow.
Home health agency certification: CCN 248144
- Legal name
- AVERA MARSHALL
- Doing business as
- AVERA@HOME SOUTHWEST MINNESOTA
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 11, 2015
- Last certification
- May 31, 2018
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation
- Incorporated
- Dec 26, 1944 in MN
- Enrollment address
- 300 S Bruce St
Marshall, MN 56258-1934
Other NPIs with the same Medicare PAC ID 13
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Avera Dialysis Marshall
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Marshall, MN
- NPI 1154856839
5799695227
-
dba Avera Morningside Heights Care Center
- Skilled Nursing Facility
- Marshall, MN
- NPI 1255329033
5799695227
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
5799695227
-
dba Avera Eye Care Marshall
- Durable Medical Equipment & Medical Supplies
- Marshall, MN
- NPI 1669622031
5799695227
-
dba Avera Marshall Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Marshall, MN
- NPI 1700070430
5799695227
-
dba Avera Marshall Regional Medical Center
- Psychiatric Hospital Unit
- Marshall, MN
- NPI 1750508412
5799695227
-
dba Avera Eye Care Springfield
- Ophthalmology Physician
- Springfield, MN
- NPI 1922316041
5799695227
-
dba Avera@Home Southwest Minnesota
- Community Based Hospice Care Agency
- Marshall, MN
- NPI 1952727463
5799695227
-
dba Avera Marshall Specialty Clinic
- Multi-Specialty Clinic/Center
- Marshall, MN
- NPI 1962641936
5799695227
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Avera at Home Marshall
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Jun 11, 2015
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Weiner Memorial Med Ctr
Other organizations with this tax ID 15
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Avera Dialysis Marshall
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Marshall, MN
- NPI 1154856839
-
dba Avera Medical Group Behavioral Health Services
- Psychiatry Physician
- Marshall, MN
- NPI 1528293172
-
dba Avera Medical Group Redwood Falls
- Health Service Clinic/Center
- Redwood Falls, MN
- NPI 1588005961
-
dba Avera Medical Group Radiation Oncology Marshall
- Radiation Oncology Clinic/Center
- Marshall, MN
- NPI 1649688623
-
dba Avera Marshall Adult Day Services
- Adult Day Care Clinic/Center
- Marshall, MN
- NPI 1710303227
-
dba Avera Eye Care Springfield
- Ophthalmology Physician
- Springfield, MN
- NPI 1922316041
Locations
1521 Carlson St
Ste A
Marshall, MN 56258
Phone (507) 537-7070
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jill Vroman | Corporate Director | Jul 1, 2023 | |
| Debra Ann Streier | Corporate Officer | Feb 1, 2021 | |
| W-2 Managing Employee | Feb 1, 2021 | ||
| Tim O'Leary | Corporate Director | Jul 1, 2023 | |
| Jodelle a Zimmerman | Corporate Director | Jul 1, 2018 | |
| Sharon Hennen | Corporate Director | Jul 1, 2023 | |
| Amanda Sieling | Corporate Director | Jul 1, 2018 | |
| Karie Engle Novak | Corporate Director | Jul 1, 2024 | |
| Lavonne Annette Koenen | Corporate Director | Jul 1, 2020 | |
| Christy Ann Coudron | Corporate Officer | Sep 1, 2020 | |
| Julie Lautt | Corporate Officer | Mar 1, 2020 | |
| Thomas Matthew Lorang | Corporate Director | Jul 1, 2024 | |
| Curtis Ronald Louwagie | Corporate Director | Jul 1, 2018 | |
| Avera Health | 5% Or Greater Direct Ownership Interest | Nov 2, 2009 | 100% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
All facility ownership & control disclosures 8
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Avera Tyler Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 1, 2016 Mar 1, 2016 |
| Avera Tyler Hospital | Hospital | Operational/Managerial Control | Mar 1, 2016 |
| Avera Granite Falls Health Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2020 Jan 1, 2020 |
| Avera Granite Falls Health Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2020 Jan 1, 2020 |
| Avera Sunrise Manor | Skilled nursing facility | Operational/Managerial Control | Feb 17, 2016 |
| Avera Granite Falls Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2020 |
| Avera Medical Group Tyler | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 1, 2016 Mar 1, 2016 |
| Avera Medical Group Tyler | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 1, 2016 Mar 1, 2016 |
Owned or controlled facilities with NPI records 8
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Avera Granite Falls Health Center Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Granite Falls, MN
- NPI 1578106498
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Granite Falls Care Center
- Skilled Nursing Facility
- Granite Falls, MN
- NPI 1679116503
5% Or Greater Direct Ownership Interest
-
dba Avera Granite Falls Health Center
- Critical Access Hospital
- Granite Falls, MN
- NPI 1700429610
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Lake Benton Clinic
- Rural Health Clinic/Center
- Lake Benton, MN
- NPI 1003869892
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Medicare Defined Swing Bed Hospital Unit
- Tyler, MN
- NPI 1326102237
Operational/Managerial Control
-
dba Avera Medical Group Tyler
- Rural Health Clinic/Center
- Tyler, MN
- NPI 1649223439
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Tyler Hospital
- Critical Access Hospital
- Tyler, MN
- NPI 1801840517
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Sunrise Manor
- Skilled Nursing Facility
- Tyler, MN
- NPI 1821042920
Operational/Managerial Control
Facilities with the same owner 90
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Avera Granite Falls Health Center Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Granite Falls, MN
- NPI 1578106498
Avera Health
-
dba Avera Granite Falls Health Center
- Critical Access Hospital
- Granite Falls, MN
- NPI 1700429610
Avera Health
-
dba Avera Morningside Heights Care Center
- Skilled Nursing Facility
- Marshall, MN
- NPI 1255329033
Avera Health
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
Avera Health
-
dba Avera Marshall Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Marshall, MN
- NPI 1700070430
Avera Health
-
dba Avera Marshall Regional Medical Center
- Psychiatric Hospital Unit
- Marshall, MN
- NPI 1750508412
Avera Health
-
dba Avera@Home Southwest Minnesota
- Community Based Hospice Care Agency
- Marshall, MN
- NPI 1952727463
Avera Health
-
dba Avera Lake Benton Clinic
- Rural Health Clinic/Center
- Lake Benton, MN
- NPI 1003869892
Avera Health
-
dba Avera Medical Group Tyler
- Rural Health Clinic/Center
- Tyler, MN
- NPI 1649223439
Avera Health
Practitioners & affiliated clinicians
Affiliated clinicians 35
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Worthington, MN
- NPI 1629632443
Home health agency
-
- Adult Health Nurse Practitioner
- Marshall, MN
- NPI 1699141929
Home health agency
-
- Family Nurse Practitioner
- Willmar, MN
- NPI 1588795074
Home health agency
-
- Family Medicine Physician
- Marshall, MN
- NPI 1912970807
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669852800000",
"number": "1033535547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S BRUCE ST",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562581934",
"telephone_number": "507-532-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S BRUCE ST",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562581934",
"telephone_number": "507-537-7070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVERA MARSHALL",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-07",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A",
"authorized_official_last_name": "STREIER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "507-537-9160"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avera@Home Southwest Minnesota",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marshall, MN
- Michael K Anyasike, MD
- Chrissy Archbold
- Joyce Arends
- Lexis Arnold
- Avera Home Medical Equipment LLC
- Avera Marshall (Avera Dialysis Marshall)
- Avera Marshall (Avera Morningside Heights Care Center)
- Avera Marshall (Avera Marshall Home Health Care)
- Avera Marshall (Avera Surgery Center Marshall)
- Avera Marshall (Avera Medical Group Carlson)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.