Avera at Home

Organization Active NPI Home Health Agency · Aberdeen, SD

NPI 1912958877 · NPPES record last updated Jun 24, 2026

Key facts

NPI
1912958877
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
AVERA AT HOME
Practice address
706 S Main St
Aberdeen, SD 57401-6015
Phone
(605) 622-5200
Fax
(605) 622-5201
NPI assigned
May 15, 2006
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 4

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

Other NPIs with the same Medicare PAC ID 14

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

Corporate family (same tax ID) 22

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

Facilities with the same owner 90

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

View all 90

Affiliated clinicians 13

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

Medicare Care Compare: Home health agency

Listed as
Avera @ Home CCN 437024
Overall star rating
★★★★★ 5 of 5
Ownership
Non-Profit
Certified
Nov 7, 1984
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD

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
Corporation · Non-profit
Incorporated
Jun 24, 1987 in SD
Enrollment address
706 S Main St
Aberdeen, SD 57401-6015

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 Director
Board Member
Jul 1, 2013
Nanci J Vanpeursem
Individual
Corporate Director
Board Member
Jan 1, 2022 5%
Chad R Thury
Individual
Corporate Director
Board Member
Jan 1, 2022 5%
Debra Ann Kolecka
Individual
Corporate Director
Board Member
Jul 1, 2013
Lucille F Welbig
Individual
Corporate Director
Board Member
Jan 1, 2022
Debra Ann Streier
Individual
Corporate Director
Board Member
Jan 1, 2022
Timothy Dougherty
Individual
Corporate Director
Board Member
Jan 1, 2022 5%
Sandra Diane Dieleman
Individual
Corporate Officer
President & Ceo
Jul 1, 2013
Corporate Director
President and Ceo
Jul 1, 2013
Gerald Beninga
Individual
Corporate Director
Board Member
Jan 1, 2022 5%
Carla a Van Dyke
Individual
W-2 Managing Employee
Regional Director
Aug 12, 2015
Matthew Gerhardt Winkelbauer
Individual
Corporate Director
Board Member
Jan 1, 2022
Douglas R Ekeren
Individual
Corporate Director
Board Member
Jan 1, 2022
Doris M Derynck
Individual
Corporate Director
Board Member
Jul 1, 2013
Avera Health
Organization · Sioux Falls, SD
Non-profit
Operational/Managerial Control Nov 1, 2013
Karen Gallagher
Individual
Corporate Director
Board Member
Jul 1, 2015
Laura S Woolverton
Individual
W-2 Managing Employee
Manager
Feb 16, 2015

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140130000739 SD Part a Provider - Home Health Agency 8820224280 Practice locations: Aberdeen, SD

National Provider Directory

Tax ID family
Avera at Home (23 organizations share this tax ID)

Locations

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

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
59723MedicaidND

Other names

  • Avera@Home Doing business as

Other providers in Aberdeen, SD

All providers in Aberdeen, SD · Home Health Agency in South Dakota

Sources for this page

Verify at the official NPI Registry.