Avera Home Medical Equipment, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Pierre, SD

NPI 1669548616 · NPPES record last updated Jun 25, 2026

Key facts

NPI
1669548616
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
33001460444002EST001 (SD)
Legal business name
AVERA HOME MEDICAL EQUIPMENT, LLC
Practice address
1411 E Wells Ave
Pierre, SD 57501-3966
Phone
(605) 224-6687
Fax
(605) 224-7947
NPI assigned
Nov 28, 2006
Organization subpart
No

Authorized official

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

Other NPIs with the same Medicare PAC ID 9

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

Corporate family (same tax ID) 8

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

Member of 7

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

Member organizations 34

Organizations listed as members of this organization in the National Provider Directory.

View all 34

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Avera Home Medical Equipment
1411 Wells Ave, Pierre, SD 57501-3966 · (605) 224-6687
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 assignment
Participating since Dec 27, 2002

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150923000572 SD DME Supplier - Medical Supply Company
DME Supplier - Medical Supply Company With Respiratory Therapist
DME Supplier - Oxygen & Equipment
7618182205 Practice locations: Pierre, SD

National Provider Directory

Tax ID family
Avera Home Medical Equipment LLC (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 33001460444002EST001 SD Yes

Addresses

Primary practice location

1411 E Wells Ave
Pierre, SD 57501-3966

Mailing address

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

Other providers in Pierre, SD

All providers in Pierre, SD · Durable Medical Equipment & Medical Supplies in South Dakota

Sources for this page

Verify at the official NPI Registry.