Organization Active NPI

Hospice of the Midwest, LLC

  • Community Based Hospice Care Agency
  • Sioux City, IA
National Provider Identifier
1205560141
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF THE MIDWEST, LLC
Practice address
304 W 28TH St
Sioux City, IA 51104-4036
Phone
(721) 317-3720
Fax
(712) 317-3721
NPI assigned
Jul 15, 2022
Last updated
Jul 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPICE OF THE MIDWEST, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

304 W 28TH St
Sioux City, IA 51104-4036

Mailing address

304 W 28TH St
Sioux City, IA 51104-4036
Phone (721) 317-3720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221207003066 IA Part A Provider - Hospice 7113239211 Practice locations: Sioux City, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205560141. Details of each certification follow.

Hospice certification: CCN 161617

Legal name
HOSPICE OF THE MIDWEST LLC
Doing business as
HOSPICE OF THE MIDWEST
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 26, 2023
Last certification
Apr 26, 2023
Organization structure
LLCProprietary
Incorporated
Jan 29, 2015 in DE
Enrollment address
304 W 28TH St
Sioux City, IA 51104-4036

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of MidwestCCN 161617 · All quality measures
Certified
Apr 26, 2023
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
16D2270602Hospice of the Midwest, LLC304 West 28TH St, Sioux City, IA 51104Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hospice of the Midwest LLC2 organizations share this tax ID, including this one
Part of
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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

910 S Locust St
Glenwood, IA 51534
Phone (712) 527-2003

103 N 4th St
Guthrie Center, IA 50115
Phone (641) 332-3006

9249 Northpark Dr
Johnston, IA 50131
Phone (515) 218-2143

2110 S Center St
Marshalltown, IA 50158
Phone (641) 323-2047

304 W 28th St
Sioux City, IA 51104
Phone (712) 317-3720

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.

NameRoleSinceShare
Kevin McDaniel Individual Corporate OfficerSecretary Dec 3, 2021
Corporate DirectorBoard Member Dec 3, 2021
Jennifer Phipps Individual Corporate OfficerTreasurer Jul 22, 2022
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 29%
Silverton Abode Holding Corporation Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 29, 2015 100%
Margaret Sherry Pemberton Individual Corporate OfficerVice President Dec 3, 2021
Corporate DirectorBoard Member Dec 3, 2021
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Silverton Intermediate Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 29, 2015 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Phoenix Intermediate Holdings, Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Silverton Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 29, 2015 100%
Abode Healthcare, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 29, 2015 100%
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 29%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 68%
Lynnea Anderson Individual W-2 Managing EmployeeAdministrator Aug 8, 2022
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 60%
Michael a McMaude Individual Corporate OfficerPresident Jan 29, 2015
Corporate DirectorBoard Member Jan 29, 2015
Silverton Abode, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 29, 2015 100%
Abode Iowa LLC Organization, Louisville, KY LLC, For-profit 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.

View all 151

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1205560141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W 28TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044036",
            "telephone_number": "721-317-3720",
            "fax_number": "712-317-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W 28TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044036",
            "telephone_number": "721-317-3720",
            "fax_number": "712-317-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF THE MIDWEST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPICE OF THE MIDWEST, LLC",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.