NPIMap

Organization Active NPI

Avera at Home

Doing business as Avera @ Home

  • Community Based Hospice Care Agency
  • Milbank, SD
National Provider Identifier
1467565325
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
48451 Issued in SD
Legal business name
AVERA AT HOME
Doing business as
Avera @ Home
Practice address
901 S Dakota St Ste 1a
Milbank, SD 57252-2809
Phone
(605) 432-4538
Fax
(605) 432-5412
NPI assigned
Aug 16, 2006
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandra D Dieleman
Title
Ceo/President
Phone
(605) 322-3984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 48451 SD Primary

Addresses

Primary practice location

901 S Dakota St Ste 1a
Milbank, SD 57252-2809

Mailing address

PO Box 5045
Sioux Falls, SD 57117-5045
Phone (605) 322-1872

Other names 1

  • Avera @ Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140324001541 SD Part A Provider - Hospice 8820224280 Practice locations: Milbank, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467565325. Details of each certification follow.

Hospice certification: CCN 431515

Legal name
AVERA AT HOME
Doing business as
AVERA@HOME
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 15, 2000
Last certification
Dec 17, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 24, 1987 in SD
Enrollment address
901 S Dakota St
Ste 1a
Milbank, SD 57252-2817

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Care Compare: Hospice

Medicare Care Compare
Listed as
Avera @ HomeCCN 431515 · All quality measures
Ownership
Other
Certified
Jun 15, 2000
Medicare certification status
ActiveFrom the Provider of Services file

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Avera McKennan

    dba Avera Medical Group Worthington

    • Family Medicine Physician
    • Worthington, MN
    • NPI 1306939806

    Member Of

    NPD member

Locations

901 S Dakota St
Ste 1A
Milbank, SD 57252
Phone (605) 622-5875

5116 S Solberg Ave
Sioux Falls, SD 57108

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nathan Brand Individual W-2 Managing Employee Jul 16, 2017
Curtis John Hohman Individual Corporate DirectorBoard Member Jul 1, 2013
Nanci J Vanpeursem Individual Corporate DirectorBoard Member Jan 1, 2022
Jessica R Karges Individual W-2 Managing EmployeeManager Jan 1, 2014
Chad R Thury Individual Corporate DirectorBoard Member Jan 1, 2022
Debra Ann Kolecka Individual Corporate DirectorBoard Member Jul 1, 2013
Lucille F Welbig Individual Corporate DirectorBoard Member Jan 1, 2022
Debra Ann Streier Individual Corporate DirectorBoard Member Jan 1, 2022
Timothy Dougherty Individual Corporate DirectorBoard Member Jan 1, 2022
Sandra Diane Dieleman Individual Corporate OfficerPresident and Ceo Jul 1, 2013
Corporate DirectorPresident and Ceo Jul 1, 2013
Gerald Beninga Individual Corporate DirectorBoard Member Jan 1, 2022
Carla a Van Dyke Individual W-2 Managing EmployeeRegional Director Aug 12, 2015
Matthew Gerhardt Winkelbauer Individual Corporate DirectorBoard Member Jan 1, 2022
Douglas R Ekeren Individual Corporate DirectorBoard Member Jan 1, 2022
Doris M Derynck Individual Corporate DirectorBoard Member Jul 1, 2013
Avera Health Organization, Sioux Falls, SD For-profit Operational/Managerial Control Jan 1, 2014
Karen Gallagher Individual Corporate DirectorBoard Member Jul 1, 2015

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 90

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 90

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1467565325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5045",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175045",
            "telephone_number": "605-322-1872",
            "fax_number": "605-322-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S DAKOTA ST STE 1A",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572522809",
            "telephone_number": "605-432-4538",
            "fax_number": "605-432-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "DIELEMAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "605-322-3984"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SD",
            "license": "48451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera @ Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milbank, SD

Sources for this page

Verify at the official NPI Registry.