MEDICARE: AVERA AT HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	10563	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1484AMC	OTHER	MN	BLUE CROSS OF MINNESOTA

General Provider Information

NPI Number	:	1467474239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVERA AT HOME

Provider Business Mailing Address
First Line	:	PO BOX 5045
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57117-5045
Country	:	US
Telephone Number	:	605-322-1872
Fax Number	:	605-322-1892

Provider Business Practice Location Address
First Line	:	4509 PRINCE OF PEACE PL
Second Line	:	HOSPICE UNIT
City	:	SIOUX FALLS
State	:	SD
Zip	:	57103-5830
Country	:	US
Telephone Number	:	605-322-5490
Fax Number	:	605-322-3179

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	SANDRA D DIELEMAN
Credential	:
Telephone Number	:	605-322-3984

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	06/30/2020

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1508854340 — AVERA MCKENNAN
Practice Location Address:

4513 S PRINCE OF PEACE PL
SIOUX FALLS, SD
57103-5830

Practice Phone: 605-322-5600
Practice Fax:

1043279383 — DR. ANDREW WADE BURCHETT D.O.
Practice Location Address:

4509 S PRINCE OF PEACE PL
SIOUX FALLS, SD
57103-5830

Practice Phone: 605-322-7705
Practice Fax: 605-322-7713

1700070307 — MRS. JODIE MCMACKEN THORSON OTR/L
Practice Location Address:

4500 S PRINCE OF PEACE PL , SUITE 1
SIOUX FALLS, SD
57103-5830

Practice Phone: 605-322-5618
Practice Fax:

1780849869 — RENEE KNEIP O.T.
Practice Location Address:

4500 S PRINCE OF PEACE PL , SUITE 1
SIOUX FALLS, SD
57103-5830

Practice Phone: 605-322-5600
Practice Fax:

1376708446 — STEPHANIE ANN RAHN I P.T.
Practice Location Address:

4500 S PRINCE OF PEACE PL
SIOUX FALLS, SD
57103-5830

Practice Phone: 605-322-5600
Practice Fax:

Directions to “AVERA AT HOME ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.