AVERA@HOME
NPI 1649691320
Home Health in Sioux Falls, SD

NPI Status: Active since December 23, 2013

Contact Information

2400 S MINNESOTA AVE
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-4663
Fax: (605) 322-3380

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  • Organization
  • Home Health
  • Accepts Insurance
  • CLIA Number: 43D2094413
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 04-15-2027

About AVERA@HOME

This page provides the complete NPI Profile along with additional information for Avera@home, a provider established in Sioux Falls, South Dakota operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1649691320 assigned on December 2013. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Avera@home. The authorized official of this NPI record is Ms. Sandra D Dieleman (President/ceo)

NPI
1649691320
Provider Legal Name
AVERA AT HOME
Other Organization Name
AVERA@HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2400 S MINNESOTA AVE SIOUX FALLS, SD 57105
Location Phone
(605) 322-4663
Location Fax
(605) 322-3380
Mailing Address
PO BOX 5045 SIOUX FALLS, SD 57117
Mailing Phone
(605) 322-1872
Mailing Fax
(605) 322-3380
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-23-2013
Last Update Date
06-15-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License State
SD
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Avera $1800 - PPO
  • Avera $2000 - PPO
  • Avera $4000 - PPO
  • Avera $4500 - PPO
  • Avera $6000 - PPO
  • Avera $7500 HSA Eligible HDHP - PPO
  • Avera $9200 - PPO
  • Avera Standard $1500 - PPO
  • Avera Standard $5000 - PPO
  • Avera Standard $7500 - PPO
  • Wellmark Bronze HDHP HMO HSA Qualified - HMO
  • Wellmark Bronze Traditional HMO - HMO
  • Wellmark Gold Traditional HMO - HMO
  • Wellmark Silver Traditional HMO - HMO
  • Wellmark Standard Bronze HMO - HMO
  • Wellmark Standard Gold HMO - HMO
  • Wellmark Standard Silver HMO - HMO
  • Wellmark Bronze HDHP EPO HSA Qualified - EPO
  • Wellmark Bronze Traditional EPO - EPO
  • Wellmark Gold Traditional EPO - EPO
  • Wellmark Silver Traditional EPO - EPO
  • Wellmark Standard Bronze EPO - EPO
  • Wellmark Standard Gold EPO - EPO
  • Wellmark Standard Silver EPO - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. SANDRA D DIELEMAN

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(605) 322-3984

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
43D2094413
Facility Type
Home Health Agency
Certificate Effective Date
April 16, 2025
Certificate Expiration Date
April 15, 2027
Laboratory Director
JILL CRAGOE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Avera@home to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for AVERA@HOME

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649691320
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689129234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 2 + 9 + 2 + 3 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1649691320 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902525983AVERA MCKENNAN
Organization
Community Health Worker2400 S MINNESOTA AVE
SIOUX FALLS, SD 57105
(605) 322-4663

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649691320, enumerated in the NPI registry as an "organization" on December 23, 2013

The provider is located at 2400 S Minnesota Ave Sioux Falls, Sd 57105 and the phone number is (605) 322-4663

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider might be accepting Accepts: Avera Health Plans, Wellmark Health Plan of Iowa,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 43D2094413 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 23, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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