AVERA ST LUKES (NPI# 1386693430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386693430 |
Entity Type | Organization |
Organization Name | AVERA ST LUKES |
Other Organization Name | AVERA MOTHER JOSEPH MANOR |
Practice Address |
1002 N Jay St Aberdeen SD 57401-2439 |
Practice Telephone | 6056225000 |
Practice Fax Number | 6056225255 |
Mailing Telephone | 6056225000 |
Mailing Fax Number | 6056225255 |
Enumeration Date | 2006-05-08 |
Last Update Date | 2020-08-22 |
Authorized Official Name | RONALD L JACOBSON (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6056225125 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 10590 | SD | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | 0151162 | 05 |
Other Name | Type Code |
---|---|
Avera Mother Joseph Manor | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932203015 | Avera St Lukes | Internal Medicine | 201 S Lloyd St Ste W240, Aberdeen, SD 57401-4530 | 2006-09-11 |
1174548937 | Avera St Lukes | Radiology | 1400 10th Ave W, Mobridge, SD 57601-1246 | 2006-07-13 |
1831504711 | Avera St Lukes | Clinic/Center | 310 S Penn St, Ste 201, Aberdeen, SD 57401 | 2014-06-30 |
1780004713 | Avera St Lukes | Radiology | 310 S Penn St, Suite 105, Aberdeen, SD 57401 | 2014-04-17 |
1386738102 | Avera St Lukes | Pharmacy | 305 S State St, Aberdeen, SD 57401-4527 | 2006-10-03 |
1912011867 | Avera St Lukes | Prosthetic/Orthotic Supplier | 305 S State St, Aberdeen, SD 57401-4527 | 2006-08-18 |
1760423057 | Avera St Lukes | Clinic/Center | 240 Main St, Ellendale, ND 58436 | 2006-06-09 |
1013968940 | Avera St Lukes | Medicare Defined Swing Bed Unit | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-15 |
1003867029 | Avera St Lukes | Psychiatric Hospital | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-15 |
1649221664 | Avera St Lukes | Clinic/Center | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-15 |
Street Address |
1002 N JAY ST |
City | ABERDEEN |
State | SD |
Zip Code | 57401-2439 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
Find all providers in zip 57401 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447323530 | Aberdeen Healthcare Center Inc | Skilled Nursing Facility | 1700 N Highway 281, Aberdeen, SD 57401-1017 | 2006-11-16 |
1083659809 | Manor Care of Aberdeen Sd LLC | Skilled Nursing Facility | 400 8th Ave Nw, Aberdeen, SD 57401-2331 | 2006-06-17 |
1487641395 | Bethesda Home of Aberdeen, Inc. | Skilled Nursing Facility | 1224 S High St, Aberdeen, SD 57401-7724 | 2005-10-05 |
1205823051 | Care Center of Aberdeen | Skilled Nursing Facility | 505 Jackson St, Aberdeen, MS 39730-3349 | 2005-10-05 |
1194719450 | Avalon Care Center - Aberdeen, LLC | Skilled Nursing Facility | 920 Anderson Dr, Aberdeen, WA 98520-1007 | 2005-09-01 |
1134121106 | Kingswood Nursing Center Inc | Skilled Nursing Facility | 797 Pee Dee Rd, Aberdeen, NC 28315-3830 | 2005-08-10 |
1467955682 | Aberdeen Nursing and Rehab Center LLC | Skilled Nursing Facility | 400 8th Ave Nw, Aberdeen, SD 57401-2331 | 2018-03-14 |
1063628451 | Community Care Center of Aberdeen | Skilled Nursing Facility | 505 Jackson St, Aberdeen, MS 39730-3349 | 2007-05-15 |
1982821492 | Key Point Health Services, Inc | Skilled Nursing Facility | 135 N Parke St, Aberdeen, MD 21001-2428 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538725841 | Lake Norden Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 803 Park Street, Lake Norden, SD 57248-0139 | 2019-05-13 |
1902462211 | Ipswich Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 617 Bloemendaal Drive, Ipswich, SD 57451 | 2019-05-13 |
1760047252 | Armour Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 106 Braddock Ave, Armour, SD 57313-2157 | 2019-05-09 |
1881112290 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 4825 Jericho Way, Rapid City, SD 57702-9694 | 2017-09-06 |
1568906386 | Lake Norden Care and Rehabilitation Center LLC | Skilled Nursing Facility | 803 Park St, Lake Norden, SD 57248 | 2016-12-13 |
1568835452 | Estelline Nursing and Care Center | Skilled Nursing Facility | 205 E Fjerestad Ave, Estelline, SD 57234-0130 | 2015-11-02 |
1740695675 | Northeast Care and Rehabilitation Center Inc | Skilled Nursing Facility | 85 S 1st Ave, Rosholt, SD 57260 | 2014-06-30 |
1912254459 | Bethany Lutheran Home | Skilled Nursing Facility | 3008 E Aspen Blvd, Brandon, SD 57005-2202 | 2012-08-14 |
1619249075 | Nicholle Marie Gilbertson | Skilled Nursing Facility | 123 Forest Ave, Vermillion, SD 57069-3107 | 2012-02-01 |
1841587227 | Edgewood Greenleaf Sisseton | Skilled Nursing Facility | 308 Hillview Rd., Sisseton, SD 57262-2300 | 2011-07-06 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.