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AVERA AT HOME NPI 1124023825


NPI Information

NPI: 1124023825
Provider Name: AVERA AT HOME

Doing Business As: AVERA@HOME

Classification: Hospice, Inpatient - 315D00000X
Entity Type: Organization
Address:
1115 E 5TH AVE
MITCHELL, SD
ZIP 57301
Phone: (605) 995-2268
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AVERA AT HOME is a hospice inpatient in Mitchell, SD. The provider is a provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. AVERA AT HOME NPI is 1124023825. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera@home.

The provider's business location address is:

1115 E 5TH AVE
MITCHELL, SD
ZIP 57301-917
Phone: (605) 995-2268
Fax: (605) 995-5624

The provider's authorized official is Sandra Dieleman .
The authorized official title is Ceo/president and has the following contact phone number (605) 322-3984.

The enumeration date for this NPI number is 6/17/2005 and was last updated on 7/1/2020.


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
1315D00000XHospice, InpatientN/ASOUTH DAKOTAYes

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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