Avera McKennan
NPI 1508854340ActiveOrganization· Skilled Nursing Facility· Sioux Falls, SD
Skilled Nursing Facility in Sioux Falls, South Dakota, registered in NPPES in October 2005. The authorized official on file is Ronald Joseph Place, MD, President/Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1508854340 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 6, 2005 |
| Last updated in NPPES | Oct 4, 2023 |
| Certified by provider | Oct 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 10722 | SD |
| Assisted Living Facility | 310400000X | 10722 | 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) | Enrolled Part A Provider - Skilled Nursing Facility (SD) |
|---|
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