Organization Active NPI

Ci Healthcare, L.L.C.

Doing business as Care Initiatives Hospice - Omaha

  • Community Based Hospice Care Agency
  • Omaha, NE
National Provider Identifier
1295434835
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CI HEALTHCARE, L.L.C.
Doing business as
Care Initiatives Hospice - Omaha
Practice address
440 Regency Parkway Dr Ste 131
Omaha, NE 68114-3742
Phone
(515) 224-4442
Fax
(515) 224-0960
NPI assigned
Mar 2, 2023
Last updated
May 22, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CARE INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Dave Dixon
Title
Cfo/SVP
Phone
(515) 224-4442

Specialties & licenses 1

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

Addresses

Primary practice location

440 Regency Parkway Dr Ste 131
Omaha, NE 68114-3742

Mailing address

1611 W Lakes Pkwy
West Des Moines, IA 50266-8212
Phone (515) 224-4442

Other names 1

  • Care Initiatives Hospice - Omaha Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240329000973 NE Part A Provider - Hospice 7315385143 Practice locations: Omaha, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295434835. Details of each certification follow.

Hospice certification: CCN 281561

Legal name
CI HEALTHCARE LLC
Doing business as
CARE INITIATIVES HOSPICE - OMAHA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 12, 2025
Last certification
Aug 28, 2025
Organization structure
LLCProprietary
Incorporated
Jun 2, 2022 in IA
Enrollment address
440 Regency Parkway Dr
Ste 131
Omaha, NE 68114-3742

Care Compare: Hospice

Medicare Care Compare
Listed as
Care Initiatives Hospice-OmahaCCN 281561 · All quality measures
Certified
Sep 12, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Care Initiatives

Member of 1

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

Locations

440 Regency Parkway Dr
Ste 131
Omaha, NE 68114

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 Childs Individual Corporate DirectorBoard Member Jan 1, 2024
Peter D Corless Individual Corporate DirectorBoard Member Jan 1, 2025
Linda L Upmeyer Individual Corporate DirectorBoard Member Jan 1, 2024
Emily Drake Individual Corporate OfficerVice President & Chief Legal Office Jan 1, 2024
Jeramy D Kuhn Individual Corporate OfficerVP/Chief Compliance Officer Jan 1, 2024
Johanna Volm Individual Corporate OfficerSVP - Chief Nursing Officer Jun 1, 2020
Keith K Krein Individual Corporate DirectorBoard Member Jan 1, 2024
Cami Black Individual Corporate OfficerVP of Hospice Nov 2, 2024
Care Initiatives Organization, West Des Moines, IA Non-profit 5% Or Greater Direct Ownership Interest Jun 3, 2022 100%
Mary Jane Carothers Individual Corporate DirectorBoard Member Jan 1, 2024
Denise D Sturm Individual Corporate DirectorBoard Member Jan 1, 2024
David G Sharp Individual Operational/Managerial ControlMedical Director Jan 1, 2024
Jeannette Forrest Individual Corporate OfficerVP of Clinical Operations - Hospice Dec 5, 2024
Susan Rafferty Individual Corporate OfficerChief People Officer Oct 13, 2025
Elizabeth Rust Individual Corporate DirectorBoard Member Jan 1, 2024
Michael W Beal Individual Corporate OfficerCeo & Board Vice-Chair Jan 1, 2024
Tanya Gilyard Individual Corporate OfficerVP of Business Development May 23, 2025
Amanda Matthew Individual W-2 Managing EmployeeAd; Jan 27, 2025 100%
Lane Morrell Bowen Individual Corporate DirectorBoard Member Jan 1, 2024
David B Dixon Individual Corporate OfficerChief Financial Officer Jan 1, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 44

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

View all 44

Practitioners & affiliated clinicians

Practitioners 1

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 2

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": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1295434835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 W LAKES PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668212",
            "telephone_number": "515-224-4442",
            "fax_number": "515-224-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 REGENCY PARKWAY DR STE 131",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143742",
            "telephone_number": "515-224-4442",
            "fax_number": "515-224-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CI HEALTHCARE, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE INITIATIVES",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CFO/SVP",
        "authorized_official_telephone_number": "515-224-4442"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Initiatives Hospice - Omaha",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Initiatives Hospice - Omaha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.