Avera Queen of Peace
NPI 1497750384ActiveOrganization· Assisted Living Facility· Mitchell, SD
Assisted Living Facility in Mitchell, South Dakota, registered in NPPES in June 2005, part of Avera Queen of Peace. The authorized official on file is Douglas Ekeren, President/Ceo.
Overview
| NPI | 1497750384 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Avera Queen of Peace |
| NPI issued | Jun 16, 2005 |
| Last updated in NPPES | Aug 20, 2020 |
| Certified by provider | Aug 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 41972 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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