Avera Home Medical Equipment, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Watertown, SD
NPI 1144396102 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1144396102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 14003EST001 (SD)
- Legal business name
- AVERA HOME MEDICAL EQUIPMENT, LLC
- Practice address
- 1508 4TH St NE
Watertown, SD 57201-6824 - Phone
- (605) 882-3511
- Fax
- (605) 882-3062
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Sandra D Dieleman
- Title
- President/Ceo
- Phone
- (605) 322-1872
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 8
Member of 6
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Avera Home Medical Equipment LLC |
Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Insulin Infusion Pu… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930042949 | SD | DME Supplier - Medical Supply Company |
7618182205 | Practice locations: Watertown, SD |
National Provider Directory
- Tax ID family
- Avera Home Medical Equipment LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 14003EST001 | SD | Yes |
Addresses
Primary practice location
1508 4TH St NE
Watertown, SD 57201-6824
Mailing address
PO Box 5045
Sioux Falls, SD 57117-5045
Phone (605) 322-1872
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9161926 | Medicaid | SD |
Other providers in Watertown, SD
- Kimberly June Arnold
- Aspen Counseling Services, PLLC
- Hamid Assadi
- Nannie-Lee Anne Austin
- Rachel L Austvold
- B S Behind Bars
- Darin M. Bach
- Hally J. Bach
- Katelynn Elizabeth Bailey
- Brooke Bailly
All providers in Watertown, SD · Durable Medical Equipment & Medical Supplies in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.