Active NPI
Avera at Home
Doing business as Avera@Home
- Home Health Agency
- Yankton, SD
National Provider Identifier
1982824439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AVERA AT HOME
- Doing business as
- Avera@Home
Sacred Heart Homemakers - Practice address
- 501 Summit St
Yankton, SD 57078-3855 - Phone
- (605) 668-8103
- Fax
- (605) 668-8097
- NPI assigned
- Apr 26, 2007
- Last updated
- Sep 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Dieleman
- Title
- President/Ceo
- Phone
- (605) 322-3984
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Adult Care Home Facility | 311ZA0620X | NU |
Addresses
Primary practice location
501 Summit St
Yankton, SD 57078-3855
Mailing address
2400 S Minnesotave Ave
Sioux Falls, SD 57105
Phone (605) 322-1872
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9550040 | Medicaid | SD | |
| ========= | Medicaid | SD |
Other names 2
- Avera@Home
- Sacred Heart Homemakers
National Provider Directory
National Provider Directory- Tax ID family
- Avera at Home
Other organizations with this tax ID 22
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Sioux Falls, SD
- NPI 1467474239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662595200000",
"number": "1982824439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S MINNESOTAVE AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57105",
"telephone_number": "605-322-1872",
"fax_number": "605-322-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SUMMIT ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783855",
"telephone_number": "605-668-8103",
"fax_number": "605-668-8097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVERA AT HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2022-09-08",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "DIELEMAN",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "605-322-3984"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9550040",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "=========",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Avera@Home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Avera@Home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sacred Heart Homemakers",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.