NPIMap

Avera Marshall

Organization Active NPI Home Health Agency · Marshall, MN

NPI 1033535547 · NPPES record last updated Dec 1, 2022

Key facts

NPI
1033535547
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
AVERA MARSHALL
Practice address
300 S Bruce St
Marshall, MN 56258-1934
Phone
(507) 537-7070
NPI assigned
Mar 7, 2014
Organization subpart
No

Authorized official

Name
Debbie Streier
Title
Ceo
Phone
(507) 537-9160

Owners & managing parties with NPI records 2

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

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Avera Granite Falls Medicare Defined Swing Bed Hospital Unit · Granite Falls, MN · NPI 1578106498
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • Avera Granite Falls Skilled Nursing Facility · Granite Falls, MN · NPI 1679116503
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Avera Granite Falls Critical Access Hospital · Granite Falls, MN · NPI 1700429610
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • Avera Tyler Rural Health Clinic/Center · Lake Benton, MN · NPI 1003869892
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • Avera Tyler Medicare Defined Swing Bed Hospital Unit · Tyler, MN · NPI 1326102237
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL
  • Avera Tyler Rural Health Clinic/Center · Tyler, MN · NPI 1649223439
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • Avera Tyler Critical Access Hospital · Tyler, MN · NPI 1801840517
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • Avera Tyler Skilled Nursing Facility · Tyler, MN · NPI 1821042920
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL

Other NPIs with the same Medicare PAC ID 13

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

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in 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

Practitioners 102

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 102

Affiliated clinicians 35

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

View all 35

Medicare Care Compare: Home health agency

Listed as
Avera at Home Marshall CCN 248144
Overall star rating
★★★★☆ 4 of 5
Ownership
Non-Profit
Certified
Jun 11, 2015
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

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 · Non-profit
Incorporated
Dec 26, 1944 in MN
Enrollment address
300 S Bruce St
Marshall, MN 56258-1934

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
Jill Vroman
Individual 		Corporate Director
Board Member		 Jul 1, 2023
Debra Ann Streier
Individual 		Corporate Officer
Ceo		 Feb 1, 2021
W-2 Managing Employee
Ceo		 Feb 1, 2021
Tim O'Leary
Individual 		Corporate Director
Board Member		 Jul 1, 2023
Jodelle a Zimmerman
Individual 		Corporate Director
Board Member		 Jul 1, 2018
Sharon Hennen
Individual 		Corporate Director
Board Member		 Jul 1, 2023
Amanda Sieling
Individual 		Corporate Director
Board Member		 Jul 1, 2018
Karie Engle Novak
Individual 		Corporate Director
Board Member		 Jul 1, 2024
Lavonne Annette Koenen
Individual 		Corporate Director
Board Member		 Jul 1, 2020
Christy Ann Coudron
Individual 		Corporate Officer
Director of Finance		 Sep 1, 2020
Julie Lautt
Individual 		Corporate Officer
Cfo		 Mar 1, 2020
Thomas Matthew Lorang
Individual 		Corporate Director
Board Member		 Jul 1, 2024
Curtis Ronald Louwagie
Individual 		Corporate Director
Board Member		 Jul 1, 2018
Avera Health
Organization · Sioux Falls, SD 		5% Or Greater Direct Ownership Interest Nov 2, 2009 100%

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera Tyler Hospital
Tyler, MN · CCN 241348		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2016
Mar 1, 2016
Avera Tyler Hospital
Tyler, MN · CCN 24Z348		 Hospital Operational/Managerial Control Mar 1, 2016
Avera Granite Falls Health Center
Granite Falls, MN · CCN 241343		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2020
Jan 1, 2020
Avera Granite Falls Health Center
Granite Falls, MN · CCN 24Z343		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2020
Jan 1, 2020
Avera Sunrise Manor
Tyler, MN · CCN 245357		 Skilled nursing facility Operational/Managerial Control Feb 17, 2016
Avera Granite Falls Care Center
Granite Falls, MN · CCN 245243		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2020
Avera Medical Group Tyler
Tyler, MN · CCN 243413		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2016
Mar 1, 2016
Avera Medical Group Tyler
Lake Benton, MN · CCN 243470		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2016
Mar 1, 2016

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140522001096 MN Part a Provider - Home Health Agency 5799695227 Practice locations: Marshall, MN; Worthington, MN

National Provider Directory

Tax ID family
Weiner Memorial Medical (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes
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

  • Avera@Home Southwest Minnesota Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2022.

{
    "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

All providers in Marshall, MN · Home Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.