NPIMap

Organization Active NPI

Genesis Health System

Doing business as Genesis Hospice

  • Community Based Hospice Care Agency
  • Bettendorf, IA
National Provider Identifier
1013968262
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2002574 Issued in IL
Legal business name
GENESIS HEALTH SYSTEM
Doing business as
Genesis Hospice
Practice address
2546 Tech Dr
Bettendorf, IA 52722-3345
Phone
(563) 421-5400
NPI assigned
May 12, 2006
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
GENESIS HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jordan Voigt
Title
President
Phone
(563) 421-6485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2002574 IL Primary

Addresses

Primary practice location

2546 Tech Dr
Bettendorf, IA 52722-3345

Mailing address

2535 Maplecrest Rd Ste 4
Bettendorf, IA 52722-2799
Phone (563) 421-5400

Other names 1

  • Genesis Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031113000044 IA Part B Supplier - Clinic/Group Practice 7214841436 Receives reassigned benefits from 306 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bettendorf, IA; Davenport, IA; Eldridge, IA; Durant, IA; De Witt, IA
O20060808000114 IA Part A Provider - Hospice 7214841436 Practice locations: Rock Island, IL; Bettendorf, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013968262. Details of each certification follow.

Hospice certification: CCN 161520

Legal name
GENESIS HEALTH SYSTEM
Doing business as
MERCYONE GENESIS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 13, 1992
Last certification
Aug 26, 2020
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Mar 22, 1994 in IA
Enrollment address
2546 Tech Dr
Bettendorf, IA 52722-3345

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

Care Compare: Hospice

Medicare Care Compare
Listed as
Mercyone GenesisCCN 161520 · All quality measures
Ownership
Non-Profit
Certified
Feb 13, 1992
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2020479Mercyone Genesis2546 Tech Drive, Bettendorf, IA 52722Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory
Part of
Prime Healthcare Kansas LLC

Locations

2535 Maplecrest Rd
Ste 4
Bettendorf, IA 52722
Phone (563) 421-5400

1225 E River Dr
Davenport, IA 52803
Phone 56342155005296

1351 W Central Park Ave
#2600
Davenport, IA 52804
Phone (563) 421-5400

1108 11th Ave
De Witt, IA 52742
Phone (563) 293-1655

1705 16th Ave
#100
Fulton, IL 61252
Phone (815) 589-9163

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/Hq9lMFKIau9MlCiBN698ZPzTKNvsMrCb/

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lyn Ketelsen Individual Corporate DirectorBoard Member Jan 4, 2024
Kathleen Tomsha Individual Contracted Managing EmployeeHospice Operations Manager Mar 1, 2024
Jordan Voigt Individual Corporate OfficerPresident Jan 4, 2024
Corporate DirectorBoard Member Jan 4, 2024
Charles D Waterman Individual Corporate OfficerChair Apr 30, 2006
Corporate DirectorBoard Member Apr 30, 2006
Robert P Ritz Individual Corporate DirectorBoard Member Mar 1, 2023
Stephen M Sorensen Individual W-2 Managing EmployeeHospice Medical Director Mar 1, 2024
Melissa C Pepper Individual Corporate OfficerSecretary Nov 1, 2019
Corporate DirectorBoard Member Nov 1, 2019
Peter Benson Individual Corporate OfficerVice Chair Sep 26, 2014
Corporate DirectorBoard Member Sep 26, 2014
Robin R Petersen Individual Corporate DirectorBoard Member Jul 29, 2004
Christopher M Crome Individual Corporate OfficerChief Operating Officer Nov 1, 2021
Lashonda Polite Individual Corporate DirectorBoard Member Nov 6, 2020
Edmund P Coyne Individual Corporate DirectorBoard Member Dec 4, 2008
Karen M Fitzsimmons Individual Corporate DirectorBoard Member Nov 6, 2020
Mercy Health Network Inc Organization, Clive, IA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
Joseph Malas Individual Corporate OfficerCfo & VP Finance Jul 1, 2020
W-2 Managing Employee Jun 1, 2020
Mark C. Kilmer Individual Corporate DirectorBoard Member Sep 30, 2003
Dale D Zude Individual Corporate OfficerTreasurer Jan 1, 2025
Corporate DirectorBoard Member Sep 25, 2001
Edwin V Motto Individual Corporate DirectorBoard Member Jul 23, 1996
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Mar 1, 2023 100%
Patricia S Groves Individual Corporate DirectorBoard Member Oct 9, 2015
David Larson Individual Corporate DirectorBoard Member Mar 6, 2014
Pamela Scott Individual W-2 Managing EmployeeRevenue Integrity Administrator Jan 1, 2006

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fieldstone of DewittDe Witt, IA, CCN 165619 Skilled nursing facility 5% Or Greater Direct Ownership Interest (40%) Feb 21, 2019
The Summit of BettendorfBettendorf, IA, CCN 165793 Skilled nursing facility 5% Or Greater Direct Ownership Interest (40%) Feb 21, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 215

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 215

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 60

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 60

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1013968262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 MAPLECREST RD STE 4",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222799",
            "telephone_number": "563-421-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 TECH DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223345",
            "telephone_number": "563-421-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS HEALTH SYSTEM",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "VOIGT",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-421-6485"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2002574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.