Avera at Home
Organization Active NPI In Home Supportive Care Agency · Gregory, SD
NPI 1346660693 · NPPES record last updated Apr 24, 2014
Key facts
- NPI
- 1346660693
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- AVERA AT HOME
- Practice address
- 400 Park Ave
Gregory, SD 57533-1302 - Phone
- (605) 835-5263
- Fax
- (605) 835-8406
- NPI assigned
- Apr 24, 2014
- Organization subpart
- No
Authorized official
- Name
- Sandra D Dieleman
- Title
- President/Ceo
- Phone
- (605) 322-3984
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Avera at Home
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
400 Park Ave
Gregory, SD 57533-1302
Mailing address
400 Park Ave
Gregory, SD 57533-1302
Phone (605) 835-5263
Other names
- Avera@Home
Other providers in Gregory, SD
All providers in Gregory, SD · In Home Supportive Care Agency 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 Apr 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.