AVERA BORMANN MANOR
NPI 1639264765
Skilled Nursing Facility in Parkston, SD

Active since October 04, 2006
401 W GLYNN DR, PARKSTON, SD 57366(605) 928-3311(605) 928-7368 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avera Bormann Manor NPPES

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

AVERA BORMANN MANOR (NPI 1639264765) is a healthcare organization registered as a skilled nursing facility in Parkston, South Dakota and active in the NPI registry since October 2006. The organization lists Lindsay R Weber, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639264765
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameST BENEDICT HEALTH CENTER
Location Address401 W GLYNN DRParkston, SD 57366-9605
Mailing Address401 W Glynn DrParkston, SD 57366-9605 · (605) 928-3311 · Fax (605) 928-7368
Fax(605) 928-7368
Organization SubpartNo
Authorized OfficialLindsay R WeberCeo · (605) 928-3311
Enumeration DateOctober 4, 2006
Last NPPES UpdateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
NPI 1639264765 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 · 10660
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.
401 W GLYNN DR, Parkston, SD 57366

Other Names 1

Other NameAvera Bormann Manor

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 43D0407538

Avera Bormann Manor · Parkston, SD
Expired · Jul 26, 2026
CLIA Number43D0407538
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 26, 2026
Laboratory DirectorHannah Miller
Laboratory Phone(605) 928-3384
Laboratory LocationAvera Bormann Manor401 W Glynn Drive, Parkston, SD 57366
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 20

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

Nurse Practitioner (Family)
401 W GLYNN DR
PARKSTON, SD 57366
Assisted Living Facility
401 W GLYNN DR
PARKSTON, SD 57366
Physical Therapist
401 W GLYNN DR
PARKSTON, SD 57366
Family Medicine
401 W GLYNN DR
PARKSTON, SD 57366
Physician Assistant
401 W GLYNN DR
PARKSTON, SD 57366
Family Medicine
401 W GLYNN DR
PARKSTON, SD 57366
Nurse Anesthetist, Certified Registered
401 W GLYNN DR
PARKSTON, SD 57366
Physical Therapist
401 W GLYNN DR
PARKSTON, SD 57366

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 St Benedict Health Center's NPI number?

The NPI number for St Benedict Health Center is 1639264765. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is also known as Avera Bormann Manor.

Where is St Benedict Health Center located?

St Benedict Health Center is located at 401 W Glynn Dr, Parkston, SD 57366. The listed phone number is (605) 928-3311.

What is St Benedict Health Center's specialty?

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

When was this NPI record last updated?

The NPPES record for St Benedict Health Center was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.