AVERA MOTHER JOSEPH MANOR
NPI 1386693430
Skilled Nursing Facility in Aberdeen, SD

Active since May 08, 2006CLIA 43D0681301 · Waiver
1002 N JAY ST, ABERDEEN, SD 57401(605) 622-5000(605) 622-5255 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avera Mother Joseph Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MOTHER JOSEPH MANOR (NPI 1386693430) is a healthcare organization registered as a skilled nursing facility in Aberdeen, South Dakota and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ronald L Jacobson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1386693430
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAVERA ST LUKES
Location Address1002 N JAY STAberdeen, SD 57401-2439
Mailing Address1002 N Jay StAberdeen, SD 57401-2439 · (605) 622-5000 · Fax (605) 622-5255
Fax(605) 622-5255
Organization SubpartNo
Authorized OfficialRonald L JacobsonChief Executive Officer · (605) 622-5125
Enumeration DateMay 8, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1386693430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in SD · 10590
Definition

(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.

1002 N JAY ST, Aberdeen, SD 57401

Other Names 1

Doing Business AsAvera Mother Joseph Manor

Other Identifiers 1

Medicaid0151162SD

Accepted Insurance

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 43D0681301

Avera Mother Joseph Manor · Aberdeen, SD
Active · expires Aug 31, 2026
CLIA Number43D0681301
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKara Anderson
Laboratory Phone(605) 622-5850
Laboratory LocationAvera Mother Joseph Manor1002 N Jay St, Aberdeen, SD 57401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
1002 N JAY ST
ABERDEEN, SD 57401
Occupational Therapy Assistant
1002 N JAY ST
ABERDEEN, SD 57401
Registered Nurse
1002 N JAY ST
ABERDEEN, SD 57401
Occupational Therapist
1002 N JAY ST
ABERDEEN, SD 57401

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 Lukes's NPI number?

The NPI number for Avera St Lukes is 1386693430. It was assigned to this organization in the NPPES registry on May 8, 2006. The provider is doing business as Avera Mother Joseph Manor.

Where is Avera St Lukes located?

Avera St Lukes is located at 1002 N Jay St, Aberdeen, SD 57401. The listed phone number is (605) 622-5000.

What is Avera St Lukes's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Avera St Lukes hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D0681301) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Avera St Lukes accept?

Health plans from Avera Health Plans list Avera St Lukes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avera St Lukes was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.