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Organization Active NPI

Avera at Home

Doing business as Avera @ Home

  • Home Health Agency
  • Estherville, IA
National Provider Identifier
1720001936
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
320014H Issued in IA
Legal business name
AVERA AT HOME
Doing business as
Avera @ Home
Practice address
826 N 8TH Street
Estherville, IA 51334-1528
Phone
(712) 362-2631
Fax
(712) 362-2636
NPI assigned
Jul 26, 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
Home Health Agency 251E00000X 320014H IA Primary

Addresses

Primary practice location

826 N 8TH Street
Estherville, IA 51334-1528

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
06271206MedicaidIA
67120OtherIAWELLMARK HOME HEALTH
0163550MedicaidIA
0671206MedicaidIA

Other names 1

  • Avera @ Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140205000782 IA Part A Provider - Home Health Agency 8820224280 Practice locations: Rock Rapids, IA; Estherville, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720001936. Details of each certification follow.

Home health agency certification: CCN 167120

Legal name
AVERA AT HOME
Doing business as
AVERA@HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 21, 1981
Last certification
Dec 19, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jun 24, 1987 in SD
Enrollment address
826 N 8TH St
Estherville, IA 51334-1528

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: Home health agency

Medicare Care Compare
Listed as
Avera @ HomeCCN 167120 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Jul 21, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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 organizations 13

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

View all 13

Locations

3901 W 59th St
Sioux Falls, SD 57108
Phone (605) 322-4663

Ownership & related parties

All disclosed owners & managing parties 13

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 Corporate DirectorDirector of Finance Jul 16, 2017
Kathleen Bierne Individual Corporate DirectorBoard Member Jul 1, 2013
Curtis John Hohman Individual Corporate DirectorBoard Member Jul 1, 2013
Thomas Clark Individual Corporate DirectorBoard Member Jul 1, 2013
Debra Ann Kolecka Individual Corporate DirectorBoard Member Jul 1, 2013
Jamie a Schaefer Individual Corporate DirectorBoard Member Jul 1, 2013
Sandra Diane Dieleman Individual Corporate OfficerPresident and Ceo Jul 1, 2013
Corporate DirectorPresident & Ceo Jul 1, 2013
Doris M Derynck Individual Corporate DirectorBoard Member Jul 1, 2013
Doreen Hardy Individual W-2 Managing EmployeeAgency Administrator Apr 21, 2019 100%
Avera Health Organization, Sioux Falls, SD Non-profit Operational/Managerial Control Nov 1, 2013
Tom J Snyder Individual Corporate DirectorBoard Member Jul 1, 2013
Karen Gallagher Individual Corporate DirectorBoard Member Jul 1, 2015
Rhonda J Wiering Individual W-2 Managing EmployeeRegional Director Dec 1, 2013

Owners & managing parties with NPI records 1

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1720001936",
    "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": "826 N 8TH STREET",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513341528",
            "telephone_number": "712-362-2631",
            "fax_number": "712-362-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": "320014H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06271206",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK HOME HEALTH",
            "identifier": "67120",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163550",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671206",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera @ Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Estherville, IA

Sources for this page

Verify at the official NPI Registry.