NPIMap

Organization Active NPI

Avera Home Medical Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Madison, SD
National Provider Identifier
1578639852
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
41002EST001 Issued in SD
Legal business name
AVERA HOME MEDICAL EQUIPMENT, LLC
Practice address
323 SW 10TH St
Suite 102
Madison, SD 57042-1634
Phone
(605) 256-2783
Fax
(605) 256-9816
NPI assigned
Nov 28, 2006
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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) 322-1872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 41002EST001 SD Primary

Addresses

Primary practice location

323 SW 10TH St
Suite 102
Madison, SD 57042-1634

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
9161925MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930069860 SD DME Supplier - Medical Supply CompanyDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7618182205 Practice locations: Madison, SD

Other NPIs with the same Medicare PAC ID 9

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Avera Home Medical Equipment LLC323 SW 10TH St, Madison, SD 57042-3200(605) 256-2783 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Insulin Infusion Pu… Does not accept assignmentParticipating since Dec 27, 2002

National Provider Directory

National Provider Directory
Tax ID family
Avera Home Medical Equipment LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Member of 6

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

Locations

323 SW 10th St
Ste 102
Madison, SD 57042
Phone (605) 256-2783

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1578639852",
    "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": "323 SW 10TH ST",
            "address_2": "SUITE 102",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570421634",
            "telephone_number": "605-256-2783",
            "fax_number": "605-256-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA HOME MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "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": "605-322-1872"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SD",
            "license": "41002EST001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9161925",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.