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

NPI Status: Active since May 08, 2006

Contact Information

1002 N JAY ST
ABERDEEN, SD
ZIP 57401
Phone: (605) 622-5000
Fax: (605) 622-5255

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 43D0681301
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About AVERA MOTHER JOSEPH MANOR

This page provides the complete NPI Profile along with additional information for Avera Mother Joseph Manor, a provider established in Aberdeen, South Dakota operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1386693430 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number 10590 (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 Mother Joseph Manor. The authorized official of this NPI record is Ronald L Jacobson (Chief Executive Officer)

NPI
1386693430
Provider Legal Name
AVERA ST LUKES
Other Organization Name
AVERA MOTHER JOSEPH MANOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1002 N JAY ST ABERDEEN, SD 57401
Location Phone
(605) 622-5000
Location Fax
(605) 622-5255
Mailing Address
1002 N JAY ST ABERDEEN, SD 57401
Mailing Phone
(605) 622-5000
Mailing Fax
(605) 622-5255
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2006
Last Update Date
08-22-2020
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
10590
License State
SD
Taxonomy Description
(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.

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

RONALD L JACOBSON

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(605) 622-5125

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0151162MEDICAID (05)SD 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
43D0681301
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
KARA ANDERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Avera Mother Joseph Manor to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for AVERA MOTHER JOSEPH MANOR

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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 1386693430, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
0
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 8 → 16 → 7 6 → 12 → 3 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 6 + 6 + 1 + 2 + 9 + 6 + 4 + 6 + 24 = 70

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

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1386693430.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Occupational Therapist
1002 N JAY ST
ABERDEEN, SD 57401
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386693430, enumerated as an "organization" on May 08, 2006.

The provider is located at 1002 N JAY ST ABERDEEN, SD 57401 and the phone number is (605) 622-5000.

Skilled Nursing Facility with taxonomy code 314000000X.

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