Active NPI
Avera Granite Falls
Doing business as Avera Granite Falls Home Health
- Home Health Agency
- Granite Falls, MN
National Provider Identifier
1346883279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AVERA GRANITE FALLS
- Doing business as
- Avera Granite Falls Home Health
- Practice address
- 500 Skyview Dr
Granite Falls, MN 56241-1781 - Phone
- (320) 564-3111
- NPI assigned
- Oct 23, 2019
- Last updated
- Jul 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Streier
- Title
- President/Ceo
- Phone
- (507) 537-9160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
500 Skyview Dr
Granite Falls, MN 56241-1781
Mailing address
300 S Bruce St
Marshall, MN 56258-1934
Other names 1
- AVERA GRANITE FALLS HOME HEALTH
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1033808 | Avera Granite Falls Home Health | Certificate of waiver | Nov 16, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Avera Medical Group Radiation Oncology Marshall
- Radiation Oncology Clinic/Center
- Marshall, MN
- NPI 1649688623
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657843200000",
"number": "1346883279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S BRUCE ST",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562581934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SKYVIEW DR",
"city": "GRANITE FALLS",
"state": "MN",
"postal_code": "562411781",
"telephone_number": "320-564-3111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVERA GRANITE FALLS",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-23",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A",
"authorized_official_last_name": "STREIER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "507-537-9160"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AVERA GRANITE FALLS HOME HEALTH",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AVERA GRANITE FALLS HOME HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Granite Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.