NPIMap

Organization Active NPI

Avera at Home

Doing business as Avera@Home

  • Home Health Agency
  • Aberdeen, SD
National Provider Identifier
1912958877
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AVERA AT HOME
Doing business as
Avera@Home
Practice address
706 S Main St
Aberdeen, SD 57401-6015
Phone
(605) 622-5200
Fax
(605) 622-5201
NPI assigned
May 15, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4069A ND
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

706 S Main St
Aberdeen, SD 57401-6015

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
O20140130000739 SD Part A Provider - Home Health Agency 8820224280 Practice locations: Aberdeen, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912958877. Details of each certification follow.

Home health agency certification: CCN 437024

Legal name
AVERA AT HOME
Doing business as
AVERA@HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 7, 1984
Last certification
Oct 22, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jun 24, 1987 in SD
Enrollment address
706 S Main St
Aberdeen, SD 57401-6015

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 437024 · All quality measures
Overall star rating
5 of 5
Ownership
Non-Profit
Certified
Nov 7, 1984
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

706 S Main St
Aberdeen, SD 57401
Phone (605) 622-5200

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 5%
Chad R Thury Individual Corporate DirectorBoard Member Jan 1, 2022 5%
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 5%
Sandra Diane Dieleman Individual Corporate OfficerPresident & Ceo Jul 1, 2013
Corporate DirectorPresident and Ceo Jul 1, 2013
Gerald Beninga Individual Corporate DirectorBoard Member Jan 1, 2022 5%
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 Non-profit Operational/Managerial Control Nov 1, 2013
Karen Gallagher Individual Corporate DirectorBoard Member Jul 1, 2015
Laura S Woolverton Individual W-2 Managing EmployeeManager Feb 16, 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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1912958877",
    "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": "706 S MAIN ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574016015",
            "telephone_number": "605-622-5200",
            "fax_number": "605-622-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "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": "ND",
            "license": "4069A",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera@Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera@Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.