AVERA SUNRISE MANOR
NPI 1821042920
Skilled Nursing Facility in Tyler, MN

Active since May 22, 2006CLIA 24D0405329 · Waiver
240 WILLOW ST, TYLER, MN 56178(507) 247-5521(507) 247-5972 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2022, Feb 22, 2017, Nov 9, 2016 and 1 more (4 updates tracked since 2016).

About Avera Sunrise Manor NPPES

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

AVERA SUNRISE MANOR (NPI 1821042920) is a healthcare organization registered as a skilled nursing facility in Tyler, Minnesota and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Debbie Streier, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821042920
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAVERA TYLER
Location Address240 WILLOW STTyler, MN 56178-1166
Mailing Address240 Willow StTyler, MN 56178-1166 · (507) 247-5521 · Fax (507) 247-5972
Fax(507) 247-5972
Organization SubpartYes
Authorized OfficialDebbie StreierCeo · (507) 537-9160
Enumeration DateMay 22, 2006
Last NPPES UpdateDecember 2, 20224 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
NPI 1821042920 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 MN · 376918
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.
240 WILLOW ST, Tyler, MN 56178

Other Names 1

Doing Business AsAvera Sunrise Manor

Other Identifiers 2

Other1889NALMN · Blue Cross
Medicaid599245100MN

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 24D0405329

Avera Sunrise Manor · Tyler, MN
Active · expires Aug 31, 2026
CLIA Number24D0405329
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSheena S. Strom
Laboratory Phone(507) 247-2278
Laboratory LocationAvera Sunrise Manor240 Willow St, Tyler, MN 56178
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 13

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

Occupational Therapy Assistant
240 WILLOW ST
TYLER, MN 56178
Family Medicine
240 WILLOW ST
TYLER, MN 56178
Family Medicine
240 WILLOW ST
TYLER, MN 56178
Nurse Practitioner (Family)
240 WILLOW ST
TYLER, MN 56178
Internal Medicine (Endocrinology, Diabetes & Metabolism)
240 WILLOW ST
TYLER, MN 56178
Nurse Practitioner
240 WILLOW ST
TYLER, MN 56178
General Practice
240 WILLOW ST
TYLER, MN 56178
Physical Therapist
240 WILLOW ST
TYLER, MN 56178

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 Tyler's NPI number?

The NPI number for Avera Tyler is 1821042920. It was assigned to this organization in the NPPES registry on May 22, 2006. The provider is doing business as Avera Sunrise Manor.

Where is Avera Tyler located?

Avera Tyler is located at 240 Willow St, Tyler, MN 56178. The listed phone number is (507) 247-5521.

What is Avera Tyler's specialty?

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

Does Avera Tyler hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0405329) 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 Tyler accept?

Health plans from Avera Health Plans and HealthPartners list Avera Tyler 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 Tyler was last updated on December 2, 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.