Avera@Home

LBN: Avera At Home
Avera@Home is an health care organization with primary practice located at 1115 E 5Th Ave , Mitchell SD 57301-2917. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Avera At Home can be contacted via phone (605) 995-2268, or through Dieleman, Sandra D via phone (605) 322-3984.

Contact Information

Primary practice address
1115 E 5Th Ave Mitchell SD 57301-2917
Phone: (605) 995-2268
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dieleman, Sandra D
Phone: (605) 322-3984

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1740313121
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 Mar 14th, 2007
Last updated Jul 1st, 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 1740313121 NPPES
South Dakota MEDICAID 9550320

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