AVERA@HOME
NPI 1124023825
Hospice, Inpatient in Mitchell, SD

NPI Status: Active since June 17, 2005

Contact Information

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

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  • Organization
  • Hospice, Inpatient
  • Accepts Insurance

About AVERA@HOME

This page provides the complete NPI Profile along with additional information for Avera@home, a provider established in Mitchell, South Dakota operating as a Hospice, Inpatient. The healthcare provider is registered in the NPI registry with number 1124023825 assigned on June 2005. The practitioner's primary taxonomy code is 315D00000X with license number N/A (SD). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Avera@home. The authorized official of this NPI record is Mrs. Sandra Dieleman (Ceo/president)

NPI
1124023825
Provider Legal Name
AVERA AT HOME
Other Organization Name
AVERA@HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1115 E 5TH AVE MITCHELL, SD 57301
Location Phone
(605) 995-2268
Location Fax
(605) 995-5624
Mailing Address
PO BOX 5045 SIOUX FALLS, SD 57117
Mailing Phone
(606) 332-1872
Mailing Fax
(605) 995-5624
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2005
Last Update Date
07-01-2020
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According to the Hospice Quality Reporting Program (HQRP) data this facility is other and was certified on 07-28-1993 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

Location Map

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

Hospice, Inpatient

Taxonomy Code
315D00000X
Type
Nursing & Custodial Care Facilities
License No.
N/A
License State
SD
Taxonomy Description
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.

Insurance Plans Accepted

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

  • ConnectPlus $0 Gold - PPO
  • ConnectPlus $0 Silver - PPO
  • ConnectPlus $10,600 HSA Eligible HDHP - PPO
  • ConnectPlus $1800 - PPO
  • ConnectPlus $4500 - PPO
  • ConnectPlus $6500 HSA Eligible HDHP - PPO
  • ConnectPlus $7500 HSA Eligible HDHP - PPO
  • ConnectPlus MyWeighForward $2000 - PPO
  • ConnectPlus MyWeighForward $6000 - PPO
  • ConnectPlus Standard $2000 - PPO
  • ConnectPlus Standard $6000 - PPO
  • ConnectPlus Standard $7500 HSA Eligible HDHP - PPO
  • DirectConnect $0 Gold - HMO
  • DirectConnect $0 Silver - HMO
  • DirectConnect $1800 - HMO
  • DirectConnect $4500 - HMO
  • DirectConnect $6500 HSA Eligible HDHP - HMO
  • DirectConnect $7500 HSA Eligible HDHP - HMO
  • DirectConnect MyWeighForward $2000 - HMO
  • DirectConnect MyWeighForward $6000 - HMO

*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

MRS. SANDRA DIELEMAN

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

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)431507
Ownership TypeOther
Medicare Certification Date07-28-1993
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
57.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
4
Care Provided in Home
Percentage of days patients received care in home
43
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
Not Available - Number of patients is too small to report.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
1
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
50
Care Provided in All other locations
Percentage of days patients received care in other locations
Not Available - Number of patients is too small to report.
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
Not Available - Number of patients is too small to report.
Hospice and Palliative Care Treatment Preferences
Facility observed rate
99.6
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
99.2
Hospice and Palliative Care Pain Screening
Facility observed rate
99.6
Hospice and Palliative Care Pain Assessment
Facility observed rate
93.4
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
99.6
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
89.4
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
93.7
Hospice and Palliative Care Composite Process Measure
Facility observed rate
81.3
Hospice Visits in the Last Days of Life
391
Hospice Visits in the Last Days of Life
Facility observed rate
64.5
Hospice Care Index Overall Score
Facility observed rate
9.0
CHC/GIP provided (% days)
60,602
CHC/GIP provided (% days)
Facility observed rate
0.0
CHC/GIP provided (% days)
51
Gaps in nursing visits (% elections)
310
Gaps in nursing visits (% elections)
Facility observed rate
41.6
Gaps in nursing visits (% elections)
33
Early live discharges (% live discharges)
36
Early live discharges (% live discharges)
Facility observed rate
22.2
Early live discharges (% live discharges)
98
Late live discharges (% live discharges)
36
Late live discharges (% live discharges)
Facility observed rate
25.0
Late live discharges (% live discharges)
16
Burdensome transitions, Type 1(% live discharges)
36
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
8.3
Burdensome transitions, Type 1 (% live discharges)
59
Burdensome transitions, Type 2(% live discharges)
36
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
2.8
Burdensome transitions, Type 2 (% live discharges)
72
Per-beneficiary spending (U.S. dollars $)
598
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
15,721
Per-beneficiary spending (U.S. dollars $)
45
Nurse care minutes per routine home care days (minutes)
60,415
Nurse care minutes per routine home care days (minutes)
Facility observed rate
14.7
Nurse care minutes per routine home care days (minutes)
74
Skilled nursing minutes on weekends (% minutes)
887,925
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
4.7
Skilled nursing minutes on weekends (% minutes)
13
Visits near death (% decedents)
467
Visits near death (% decedents)
Facility observed rate
95.7
Visits near death (% decedents)
69
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
23
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
19
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
15
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
4
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
9
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
3
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124023825, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 0 + 2 + 6 + 8 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1124023825.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Counselor (Mental Health)
1115 E 5TH AVE
MITCHELL, SD 57301
Counselor (Mental Health)
1115 E 5TH AVE
MITCHELL, SD 57301
Clinic/Center
1115 E 5TH AVE
MITCHELL, SD 57301
Internal Medicine
1115 E 5TH AVE
MITCHELL, SD 57301
Home Health
1115 E 5TH AVE
MITCHELL, SD 57301
Home Health
1115 E 5TH AVE
MITCHELL, SD 57301
Internal Medicine
1115 E 5TH AVE
MITCHELL, SD 57301
Nurse Practitioner (Family)
1115 E 5TH AVE
MITCHELL, SD 57301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124023825, enumerated as an "organization" on June 17, 2005.

The provider is located at 1115 E 5TH AVE MITCHELL, SD 57301 and the phone number is (605) 995-2268.

Hospice, Inpatient with taxonomy code 315D00000X.

The provider might be accepting Accepts: Avera Health Plans. Please consult your insurance carrier or call the provider to verify.