Ci Healthcare, L.L.C.

Organization Active NPI Community Based Hospice Care Agency · Omaha, NE

NPI 1295434835 · NPPES record last updated May 22, 2023

Key facts

NPI
1295434835
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
CI HEALTHCARE, L.L.C.
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
Organization subpart
Yes
Parent organization (as reported)
CARE INITIATIVES

Authorized official

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

Owners & managing parties with NPI records 1

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

Member of 1

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

Facilities with the same owner 44

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

View all 44

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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

Medicare Care Compare: Hospice

Listed as
Care Initiatives Hospice-Omaha CCN 281561
Certified
Sep 12, 2025
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE

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
LLC · Proprietary
Incorporated
Jun 2, 2022 in IA
Enrollment address
440 Regency Parkway Dr
Ste 131
Omaha, NE 68114-3742

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 Director
Board Member
Jan 1, 2024
Peter D Corless
Individual
Corporate Director
Board Member
Jan 1, 2025
Linda L Upmeyer
Individual
Corporate Director
Board Member
Jan 1, 2024
Emily Drake
Individual
Corporate Officer
Vice President & Chief Legal Office
Jan 1, 2024
Jeramy D Kuhn
Individual
Corporate Officer
VP/Chief Compliance Officer
Jan 1, 2024
Johanna Volm
Individual
Corporate Officer
SVP - Chief Nursing Officer
Jun 1, 2020
Keith K Krein
Individual
Corporate Director
Board Member
Jan 1, 2024
Cami Black
Individual
Corporate Officer
VP 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 Director
Board Member
Jan 1, 2024
Denise D Sturm
Individual
Corporate Director
Board Member
Jan 1, 2024
David G Sharp
Individual
Operational/Managerial Control
Medical Director
Jan 1, 2024
Jeannette Forrest
Individual
Corporate Officer
VP of Clinical Operations - Hospice
Dec 5, 2024
Susan Rafferty
Individual
Corporate Officer
Chief People Officer
Oct 13, 2025
Elizabeth Rust
Individual
Corporate Director
Board Member
Jan 1, 2024
Michael W Beal
Individual
Corporate Officer
Ceo & Board Vice-Chair
Jan 1, 2024
Tanya Gilyard
Individual
Corporate Officer
VP of Business Development
May 23, 2025
Amanda Matthew
Individual
W-2 Managing Employee
Ad;
Jan 27, 2025 100%
Lane Morrell Bowen
Individual
Corporate Director
Board Member
Jan 1, 2024
David B Dixon
Individual
Corporate Officer
Chief Financial Officer
Jan 1, 2024

Medicare enrollment records

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

National Provider Directory

Part of
Care Intiatives Inc

Locations

440 Regency Parkway Dr
Ste 131
Omaha, NE 68114

Specialties & licenses

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

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

  • Care Initiatives Hospice - Omaha Doing business as

Other providers in Omaha, NE

All providers in Omaha, NE · Community Based Hospice Care Agency in Nebraska

Sources for this page

Verify at the official NPI Registry.