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AVERA BRADY ASSISTED LIVING
NPI 1497750384
Assisted Living Facility in Mitchell, SD

Active since June 16, 2005
1414 W CEDAR AVE, MITCHELL, SD 57301(605) 996-7702 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avera Brady Assisted Living NPPES

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

AVERA BRADY ASSISTED LIVING (NPI 1497750384) is a healthcare organization registered as an assisted living facility in Mitchell, South Dakota and active in the NPI registry since June 2005. The organization lists Douglas Ekeren, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1497750384
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAVERA QUEEN OF PEACE
Location Address1414 W CEDAR AVEMitchell, SD 57301-3868
Mailing Address525 N Foster StMitchell, SD 57301-2966 · (605) 995-2000
Phone(605) 996-7702
Organization SubpartYes
Authorized OfficialDouglas EkerenPresident/ceo · (605) 668-8322
Enumeration DateJune 16, 2005
Last NPPES UpdateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1497750384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in SD · 41972
Definition
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.
1414 W CEDAR AVE, Mitchell, SD 57301
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Other Names 1

Doing Business AsAvera Brady Assisted Living

Other Identifiers 1

Medicaid9571240SD

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 Queen Of Peace's NPI number?

The NPI number for Avera Queen Of Peace is 1497750384. It was assigned to this organization in the NPPES registry on June 16, 2005. The provider is doing business as Avera Brady Assisted Living.

Where is Avera Queen Of Peace located?

Avera Queen Of Peace is located at 1414 W Cedar Ave, Mitchell, SD 57301. The listed phone number is (605) 996-7702.

What is Avera Queen Of Peace's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Avera Queen Of Peace was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.