AVERA ADDICTION CARE CENTER – NPI #1154979805
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

AVERA ADDICTION CARE CENTER is a substance abuse rehabilitation facility located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1154979805 to AVERA ADDICTION CARE CENTER on August 27, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA ADDICTION CARE CENTER” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 3 years ago on Oct 04, 2023. 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 ADDICTION CARE CENTER below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1154979805
Enumeration Date

(about 7 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 MCKENNAN
Doing Business As (dba): AVERA ADDICTION CARE CENTER
Primary location
6140 S CURAE LANE
SIOUX FALLS, SD 57108-3047
Phone: (605) 504-2222 Fax: (605) 504-2223
1 Other location(s):
6150 S CURAE LANE
SIOUX FALLS, SD 57108-3047
Phone: (605) 504-2222
Mailing address
PO BOX 5045
CBO PRV ENRLMT PALM PLACE
SIOUX FALLS, SD 57117-5045
Phone: (605) 322-6404 Fax:
Organization Subpart
No
Authorized Official
RONALD PLACE
PRESIDENT/CEO
Phone: (605) 322-7903
Updated
Certification Date
Oct 04, 2023

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.

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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

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.