Organization Active NPI

Avera Marshall

Doing business as Avera Marshall Home Health Care

  • Home Health Agency
  • Marshall, MN
National Provider Identifier
1346297041
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
331184 Issued in MN
Legal business name
AVERA MARSHALL
Doing business as
Avera Marshall Home Health Care
Practice address
1104 E College Dr
Marshall, MN 56258-4270
Phone
(507) 537-7070
NPI assigned
May 28, 2006
Last updated
Dec 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 331184 MN Primary

Addresses

Primary practice location

1104 E College Dr
Marshall, MN 56258-4270

Mailing address

1104 E College Dr
Marshall, MN 56258-4270
Phone (507) 537-7070

Other identifiers 1

IdentifierTypeStateIssuer
042755100MedicaidMN

Other names 1

  • Avera Marshall Home Health Care Doing business as

National Provider Directory

National Provider Directory

Member of 1

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1346297041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562584270",
            "telephone_number": "507-537-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562584270",
            "telephone_number": "507-537-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MARSHALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "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": "MN",
            "license": "331184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042755100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Marshall Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Marshall Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.