NPIMap

Organization Active NPI

Avera Home Medical Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Huron, SD
National Provider Identifier
1083780449
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
02007EST001 Issued in SD
Legal business name
AVERA HOME MEDICAL EQUIPMENT, LLC
Practice address
109 3Rd St SE
Huron, SD 57350-2016
Phone
(605) 352-8290
Fax
(605) 352-8387
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Sandra D Dieleman
Title
President/Ceo
Phone
(605) 322-1872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 02007EST001 SD Primary

Addresses

Primary practice location

109 3Rd St SE
Huron, SD 57350-2016

Mailing address

PO Box 5045
Sioux Falls, SD 57117-5045
Phone (605) 322-1872

Other identifiers 1

IdentifierTypeStateIssuer
9161263MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930080198 SD DME Supplier - Medical Supply CompanyDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7618182205 Practice locations: Huron, SD

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory

Member of 6

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1083780449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5045",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175045",
            "telephone_number": "605-322-1872",
            "fax_number": "605-322-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 3RD ST SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502016",
            "telephone_number": "605-352-8290",
            "fax_number": "605-352-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA HOME MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "DIELEMAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-322-1872"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SD",
            "license": "02007EST001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9161263",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.