Active NPI
Tieszen Memorial Home Inc
- Assisted Living Facility
- Marion, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 41974
- Legal business name
- TIESZEN MEMORIAL HOME INC
- Practice address
- 312 E State St
Marion, SD 57043-2011 - Phone
- (605) 648-3611
- Fax
- (605) 648-3363
- NPI assigned
- Jan 12, 2006
- Last updated
- Sep 11, 2025
- 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
- Mr. Paul I Engbrecht
- Title
- Ceo
- Phone
- (605) 648-3611
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 41974 | SD | Primary |
| Skilled Nursing Facility | 314000000X | 10647 | SD |
Addresses
Primary practice location
312 E State St
Marion, SD 57043-2011
Mailing address
312 E State St
Marion, SD 57043-2011
Phone (605) 648-3611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0160650 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091124000669 | SD | Part A Provider - Skilled Nursing Facility | 3173662590 | Practice locations: Marion, SD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1083693584. Details of each certification follow.
Skilled nursing facility certification: CCN 435069
- Legal name
- TIESZEN MEMORIAL HOME INC
- Doing business as
- AVEL ECARE, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 15, 1993
- Last certification
- Dec 19, 2024
- Beds
- 64
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 26, 1945 in SD
- Enrollment address
- 312 E State St
Marion, SD 57043-2011 - Nursing home name
- TIESZEN MEMORIAL HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Tieszen Memorial Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 15, 1993
- Medicare certification status
- Active
- Certified beds
- 64
National Provider Directory
National Provider Directory- Tax ID family
- Tieszen Mem Home
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Parker Assisted Living Center
- Assisted Living Facility
- Marion, SD
- NPI 1447480454
-
dba Marion Assisted Living Center
- Assisted Living Facility
- Marion, SD
- NPI 1710117726
-
- Physical Therapy Clinic/Center
- Marion, SD
- NPI 1891925806
Ownership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Paul Johnson | Corporate Officer | Jan 20, 2020 | |
| Corporate Director | Nov 1, 2009 | ||
| James a. Jones | Corporate Director | Oct 27, 2009 | |
| Joseph Glendon Rees | Operational/Managerial Control | Nov 15, 2021 | |
| Adp of the SNF | Nov 15, 2021 | ||
| Erin Patten | Corporate Director | Jun 18, 2025 | |
| Richard Luke | Corporate Officer | Jan 20, 2020 | |
| Corporate Director | Oct 27, 2009 | ||
| Avel Ecare Medical Group, PC | Operational/Managerial Control | Nov 15, 2021 | |
| Adp of the SNF | Apr 1, 2026 | ||
| Laura Wilson | Operational/Managerial Control | Oct 27, 2009 | |
| Adp of the SNF | May 29, 2020 | ||
| Ravila Berens | Corporate Officer | Jan 20, 2020 | |
| Corporate Director | Oct 27, 2009 | ||
| Eric Tieszen | Corporate Director | Feb 17, 2020 | |
| Deanna R Gall | Corporate Director | Feb 1, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Sioux Falls, SD
- NPI 1760656193
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1235195041
-
- Geriatric Medicine (Internal Medicine) Physician
- Sioux Falls, SD
- NPI 1760656193
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1083693584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 E STATE ST",
"city": "MARION",
"state": "SD",
"postal_code": "570432011",
"telephone_number": "605-648-3611",
"fax_number": "605-648-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E STATE ST",
"city": "MARION",
"state": "SD",
"postal_code": "570432011",
"telephone_number": "605-648-3611",
"fax_number": "605-648-3363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIESZEN MEMORIAL HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-12",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "ENGBRECHT",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "605-648-3611",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "SD",
"license": "41974",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "SD",
"license": "10647",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0160650",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, SD
- Queena M Getskow (Getskow Pharmacy)
- Rural Medical Clinics, PA (Marion Clinic)
- Saunders Chiropractic & Wellness
- Jon T Saunders, D.C.
- Southeastern Electric Cooperative, Inc
- Tieszen Memorial Home Inc (Parker Assisted Living Center)
- Tieszen Memorial Home Inc (Marion Assisted Living Center)
- Tieszen Memorial Home Inc
- Dean F Tieszen, DC
- Scott D Tieszen, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.