Avera@Home

LBN: Avera At Home
Avera@Home is an health care organization with primary practice located at 4509 Prince Of Peace Pl Hospice Unit, Sioux Falls SD 57103-5830. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Avera At Home can be contacted via phone (605) 322-5490, or through Dieleman, Sandra D via phone (605) 322-3984.

Contact Information

Primary practice address
4509 Prince Of Peace Pl Hospice Unit Sioux Falls SD 57103-5830
Fax: (605) 322-3179
Website:
Authorized official contact:
Name: Dieleman, Sandra D

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 10563 South Dakota

Profile Details

NPI number 1467474239
LBN Legal business name Avera At Home
DBA Doing business as Avera@Home
Authorized official Dieleman, Sandra D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Jun 30th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467474239 NPPES
Iowa MEDICAID 0929828
Iowa Other 1484AMC

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