Active NPI
Hospice of the Midwest, LLC
- Community Based Hospice Care Agency
- Johnston, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HOSPICE OF THE MIDWEST, LLC
- Practice address
- 9249 Northpark Dr
Johnston, IA 50131-2933 - Phone
- (515) 218-2143
- Fax
- (515) 218-2327
- NPI assigned
- Mar 12, 2015
- Last updated
- Sep 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin McDaniel
- Title
- Secretary
- Phone
- (256) 810-1079
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
9249 Northpark Dr
Johnston, IA 50131-2933
Mailing address
9249 Northpark Dr
Johnston, IA 50131-2933
Phone (515) 218-2143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150702000077 | IA | Part A Provider - Hospice | 7113239211 | Practice locations: Guthrie Center, IA; Johnston, IA; Marshalltown, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1023401254. Details of each certification follow.
Hospice certification: CCN 161609
- Legal name
- HOSPICE OF THE MIDWEST LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 21, 2016
- Last certification
- Sep 22, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Jan 29, 2015 in DE
- Enrollment address
- 9249 Northpark Dr
Johnston, IA 50131-2933
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community Based Hospice Care Agency
- Sioux City, IA
- NPI 1205560141
7113239211
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hospice of the Midwest, LLC
- Ownership
- For-Profit
- Certified
- Jan 21, 2016
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2096937 | Hospice of the Midwest, LLC | Certificate of waiver | Jun 3, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Hospice of the Midwest LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Sioux City, IA
- NPI 1205560141
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
9203 Northpark Dr
Johnston, IA 50131
9249 Northpark Dr
Johnston, IA 50131
Phone (515) 218-2143
Ownership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin McDaniel | Corporate Officer | Dec 3, 2021 | |
| Corporate Director | Dec 3, 2021 | ||
| Jennifer Phipps | Corporate Officer | Jul 22, 2022 | |
| Walgreen Co | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 29% |
| Silverton Abode Holding Corporation | 5% Or Greater Indirect Ownership Interest | Aug 28, 2019 | 100% |
| Margaret Sherry Pemberton | Corporate Officer | Dec 3, 2021 | |
| Corporate Director | Dec 3, 2021 | ||
| Brightspring Health Holdings Corp | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Silverton Intermediate Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Aug 28, 2019 | 100% |
| Phoenix Guarantor Inc. | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Res-Care Inc | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Silverton Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Aug 28, 2019 | 100% |
| Phoenix Intermediate Holdings Inc. | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Abode Healthcare, Inc. | 5% Or Greater Indirect Ownership Interest | Jan 29, 2015 | 100% |
| Walgreens Holding Company | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 29% |
| Brightspring Health Services Inc | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| KKR Phoenix Aggregator L.P. | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 68% |
| Lynnea Anderson | W-2 Managing Employee | Aug 28, 2019 | |
| KKR Americas Fund XII LP | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 60% |
| Michael a McMaude | Corporate Officer | Jan 29, 2015 | |
| Corporate Director | Jan 29, 2015 | ||
| Silverton Abode, LLC | 5% Or Greater Indirect Ownership Interest | Aug 28, 2019 | 100% |
| Abode Iowa LLC | 5% Or Greater Direct Ownership Interest | Jan 29, 2015 | 100% |
Facilities with the same owner 151
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Sioux City, IA
- NPI 1205560141
Abode Healthcare, Inc., Abode Iowa LLC, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Res-Care Inc, Silverton Abode Holding Corporation, Silvert
-
dba Adoration Home Health Brownsville
- Home Health Agency
- Brownsville, TN
- NPI 1639659675
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreens Holding Company
-
dba Adoration Home Health
- Home Health Agency
- Knoxville, TN
- NPI 1255811295
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
dba Adoration Home Health Martin
- Home Health Agency
- Martin, TN
- NPI 1093295040
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company
-
dba Adoration Home Health McMinnville
- Home Health Agency
- McMinnville, TN
- NPI 1275013229
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company
-
dba Adoration Home Health Nashville South
- Home Health Agency
- Brentwood, TN
- NPI 1346720398
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company
-
dba Abode Hospice of Colorado
- Community Based Hospice Care Agency
- Colorado Springs, CO
- NPI 1326459025
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Abode Hospice of Pueblo
- Community Based Hospice Care Agency
- Pueblo, CO
- NPI 1861097982
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Abode Hospice of Colorado
- Community Based Hospice Care Agency
- Lakewood, CO
- NPI 1427469113
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Abode Hospice of Colorado
- Community Based Hospice Care Agency
- Grand Junction, CO
- NPI 1447611512
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Hospice of the Midwest
- Community Based Hospice Care Agency
- Woodbury, MN
- NPI 1538552757
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Haven Hospice
- Community Based Hospice Care Agency
- Gainesville, FL
- NPI 1154162857
Abode Healthcare, Inc., Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding Corporation, Silverton Abode, LLC
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community Based Hospice Care Agency
- Sioux City, IA
- NPI 1205560141
-
- Community Based Hospice Care Agency
- Glenwood, IA
- NPI 1356927644
Practitioners & affiliated clinicians
Affiliated clinicians 25
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- West Des Moines, IA
- NPI 1447363700
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662595200000",
"number": "1023401254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9249 NORTHPARK DR",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501312933",
"telephone_number": "515-218-2143",
"fax_number": "515-218-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9249 NORTHPARK DR",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501312933",
"telephone_number": "515-218-2143",
"fax_number": "515-218-2327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE OF THE MIDWEST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-12",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A",
"authorized_official_last_name": "MCDANIEL",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "256-810-1079"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.