AVERA BRADY HEALTH AND REHAB – NPI #1144225129
Skilled Nursing Facility

(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.

AVERA BRADY HEALTH AND REHAB is a skilled nursing facility (SNF) located in MITCHELL, SD. NPPES has assigned the NPI number 1144225129 to AVERA BRADY HEALTH AND REHAB on June 16, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA BRADY HEALTH AND REHAB” is a dba name, the actual legal business name for this organization is AVERA QUEEN OF PEACE. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 6 years ago on Aug 20, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA BRADY HEALTH AND REHAB below.

NPI Profile for
AVERA QUEEN OF PEACE

NPI Number
1144225129
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA QUEEN OF PEACE
Doing Business As (dba): AVERA BRADY HEALTH AND REHAB
Primary location
500 S OHLMAN ST
MITCHELL, SD 57301-3109
Phone: (605) 996-7701 Fax:
Mailing address
525 N FOSTER ST
MITCHELL, SD 57301-2966
Phone: (605) 995-5200 Fax: (605) 995-2441
Organization Subpart
Yes - AVERA BRADY HEALTH AND REHAB is subpart of another organization.
Authorized Official
DOUGLAS EKEREN
PRESIDENT/CEO
Phone: (605) 668-8322
Updated
Certification Date
Aug 20, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AVERA BRADY HEALTH AND REHAB

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSD0151182
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
SD 10652

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.