AVERA NANO NAGLE VILLAGE
NPI 1124163225
Assisted Living Facility in Aberdeen, SD
About Avera Nano Nagle Village NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA NANO NAGLE VILLAGE (NPI 1124163225) is a healthcare organization registered as an assisted living facility in Aberdeen, South Dakota and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Tess Moeller, Vp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 43D2273906
Avera Nano Nagle Village · Aberdeen, SDOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Avera St Luke's's NPI number?
The NPI number for Avera St Luke's is 1124163225. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Avera Nano Nagle Village.
Where is Avera St Luke's located?
Avera St Luke's is located at 1002 N Jay St, Aberdeen, SD 57401. The listed phone number is (605) 622-5847.
What is Avera St Luke's's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Avera St Luke's hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 43D2273906) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Avera St Luke's was last updated on July 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
