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AVERA MCKENNAN NPI 1013939826


NPI Information

NPI: 1013939826
Provider Name: AVERA MCKENNAN

Other Name: AVERA MCKENNAN HOME HEALTH

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
1016 S CLIFF AVE
HOME HEALTH
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 322-7740
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AVERA MCKENNAN is a home health in Sioux Falls, SD. The provider is 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. AVERA MCKENNAN NPI is 1013939826. The provider is registered as an organization entity type.
The provider Other Name Is Avera Mckennan Home Health.

The provider's business location address is:

1016 S CLIFF AVE
HOME HEALTH
SIOUX FALLS, SD
ZIP 57104-324
Phone: (605) 322-7740
Fax: (605) 322-7777

The provider's authorized official is Julie Norton .
The authorized official title is Vp/cfo and has the following contact phone number (605) 322-6375.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 3/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health10563SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
187023OTHERSOUTH DAKOTABLUE CROSS OF SD
29550100MEDICAIDSOUTH DAKOTA
3437023MEDICARE OSCAR/CERTIFICATIONSOUTH DAKOTA
40170270MEDICAIDSOUTH DAKOTA
50514075MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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