NPIMap

Organization Active NPI

Avera at Home

Doing business as Avera@Home

  • In Home Supportive Care Agency
  • Gregory, SD
National Provider Identifier
1346660693
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AVERA AT HOME
Doing business as
Avera@Home
Practice address
400 Park Ave
Gregory, SD 57533-1302
Phone
(605) 835-5263
Fax
(605) 835-8406
NPI assigned
Apr 24, 2014
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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) 322-3984

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

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 1

  • Avera@Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Avera at Home23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1346660693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARK AVE",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331302",
            "telephone_number": "605-835-5263",
            "fax_number": "605-835-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARK AVE",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331302",
            "telephone_number": "605-835-5263",
            "fax_number": "605-835-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "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": "605-322-3984"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera@Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gregory, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.