Care Initiatives
Organization Active NPI Skilled Nursing Facility · Osceola, IA
NPI 1063484772 · NPPES record last updated Nov 9, 2022
Key facts
- NPI
- 1063484772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 200593 (IA)
- Legal business name
- CARE INITIATIVES
- Practice address
- 444 North West View Drive
Osceola, IA 50213-8267 - Phone
- (641) 342-6061
- Fax
- (641) 342-2272
- NPI assigned
- Feb 6, 2006
- Organization subpart
- No
Authorized official
- Name
- David Dixon
- Title
- Cfo/SVP
- Phone
- (515) 224-4442
Owners & managing parties with NPI records 1
-
Shipeng Wei, MD
Facilities with the same owner 44
Affiliated clinicians 2
-
Desire T Gijima, M.D.
-
Kavita Powaria, MD
Medicare Care Compare: Nursing home
- Listed as
- Southern Hills Specialty Care
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Aug 9, 1996
- Medicare certification status
- Active
- Certified beds
- 90 · 83.9 residents per day on average
- Chain
- Care Initiatives
- Penalties (3 years)
- 1 · fines totaling $36,865
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0383053 | Southern Hills Specialty Care | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Skilled nursing facility certification: CCN 165293
- Legal name
- CARE INITIATIVES
- Doing business as
- SOUTHERN HILLS SPECIALTY CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 9, 1996
- Last certification
- Sep 12, 2024
- Beds
- 90
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Care Initiatives
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 444 N West View Dr
Osceola, IA 50213-8267 - Nursing home name
- SOUTHERN HILLS SPECIALTY CARE
- Affiliated entity
- CARE INITIATIVES
All disclosed owners & managing parties 27
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin Childs |
Corporate Director |
Apr 1, 2023 | |
| Peter D Corless |
Corporate Director |
Jan 1, 2025 | |
| Linda L Upmeyer |
Corporate Director |
Jun 29, 2022 | |
| |
Adp of the SNF | Aug 4, 2025 | |
| Emily Drake |
Corporate Officer |
Jan 4, 2023 | |
| Jeramy D Kuhn |
Corporate Officer |
Jun 25, 2008 | |
| Johanna Volm |
Corporate Officer |
Jan 1, 2021 | |
| Keith K Krein |
Corporate Director |
Jun 29, 2022 | |
| Computershare Corporate Trust Company, NA |
5% Or Greater Mortgage Interest | Jan 1, 2025 | 16.19% |
| Care Initiatives |
5% Or Greater Direct Ownership Interest | Aug 1, 1989 | 100% |
| Mary Jane Carothers |
Corporate Director |
Jan 1, 2023 | |
| Tammy R Bushong |
Operational/Managerial Control | Jan 10, 2025 | |
| Adp of the SNF | Aug 4, 2025 | ||
| Denise D Sturm |
Corporate Director |
Jan 1, 2021 | |
| Shipeng Wei |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Aug 4, 2025 | ||
| |
Adp of the SNF | Aug 4, 2025 | |
| Elizabeth Rust |
Corporate Director |
Jan 1, 2023 | |
| Jessica McDyer |
Corporate Officer |
Feb 22, 2023 | |
| Michael W Beal |
Corporate Officer |
Jun 1, 2020 | |
| Corporate Director |
Jun 1, 2020 | ||
| |
Adp of the SNF | Jan 1, 2024 | |
| |
Adp of the SNF | Aug 4, 2025 | |
| Tanya Gilyard |
Corporate Officer |
May 23, 2025 | |
| |
Adp of the SNF | Aug 4, 2025 | |
| Carla Mahler |
Operational/Managerial Control | Jan 1, 2024 | |
| |
Adp of the SNF | Jan 1, 2024 | |
| |
Adp of the SNF | Aug 4, 2025 | |
| Lane Morrell Bowen |
Corporate Director |
Jan 1, 2021 | |
| David B Dixon |
Corporate Officer |
Jun 1, 2016 |
All facility ownership & control disclosures 44
| Facility | Type | Role | Since |
|---|---|---|---|
| Atlantic Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2013 |
| Fonda Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2011 |
| Westwood Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2011 |
| Care Initiatives |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2009 |
| Crestview Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2011 |
| Bedford Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2009 |
| Northern Mahaska Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2014 |
| State Center Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2000 |
| Dunlap Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 1989 |
| Montezuma Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2000 |
| Lantern Park Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2014 |
| Southridge Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2014 |
| Panora Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2009 |
| Mechanicsville Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 1989 |
| Pinnacle Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2009 |
| Ravenwood Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2009 |
| Dubuque Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2009 |
| Northcrest Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2012 |
| Heritage Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2009 |
| New London Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2009 |
| Chariton Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Eldora Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Stratford Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Kingsley Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Centerville Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 1989 |
| Manly Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2014 |
| Wapello Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Correctionville Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Belle Plaine Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Cherokee Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Corning Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 1989 |
| Oakwood Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Lamoni Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Parkridge Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2014 |
| Avoca Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2012 |
| Lyon Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Laporte City Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Ridgewood Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Corydon Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Nov 12, 2010 Sep 29, 1998 |
| Sibley Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Creston Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Odebolt Specialty Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 12, 2010 |
| Care Initatives Hospice Greenfield |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Feb 4, 2014 |
| Care Initiatives Hospice - Omaha |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jun 3, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100422000960 | IA | Part a Provider - Skilled Nursing Facility | 3870575350 | Practice locations: Osceola, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 200593 | IA | Yes |
Addresses
Primary practice location
444 North West View Drive
Osceola, IA 50213-8267
Mailing address
1611 W Lakes Pkwy
West Des Moines, IA 50266-8212
Phone (515) 224-4442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0808246 | Medicaid | IA | |
| 0652933 | Medicaid | IA |
Other names
- Southern Hills Specialty Care
Other providers in Osceola, IA
- David Gareld Blum
- Joseph Breshears
- Bruce a. Harris, D.D.S.
- Brady Buchheit
- Byerly Chiropractic Clinic PLC
- CH Specialty Services Ia PC
- City of Osceola
- Jennifer Laura Clark
- Clarke C.S.D.
- Clarke Community School District
All providers in Osceola, IA · Skilled Nursing Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.