NPIMap

Organization Active NPI

Hawkeye Care Center of Dubuque, LLC

Doing business as Hawkeye Care Center Dubuque

  • Skilled Nursing Facility
  • Asbury, IA
National Provider Identifier
1467415760
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
310463 Issued in IA
Legal business name
HAWKEYE CARE CENTER OF DUBUQUE, LLC
Doing business as
Hawkeye Care Center Dubuque
Practice address
5575 Pennsylvania Ave
Asbury, IA 52002-2595
Phone
(563) 583-6447
NPI assigned
Apr 8, 2006
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Doug Johnson
Title
Director of Operations
Phone
(515) 223-0173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 310463 IA Primary

Addresses

Primary practice location

5575 Pennsylvania Ave
Asbury, IA 52002-2595

Mailing address

2900 100TH St Ste 203
Urbandale, IA 50322-3851
Phone (152) 230-1735

Other identifiers 1

IdentifierTypeStateIssuer
0809806MedicaidIA

Other names 1

  • Hawkeye Care Center Dubuque Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060125000841 IA Part A Provider - Skilled Nursing Facility 2961416250 Practice locations: Asbury, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467415760. Details of each certification follow.

Skilled nursing facility certification: CCN 165565

Legal name
HAWKEYE CARE CENTER OF DUBUQUE LLC
Doing business as
HAWKEYE CARE CENTER DUBUQUE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 2005
Last certification
Sep 12, 2024
Beds
80
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
5575 Pennsylvania Ave
Asbury, IA 52002-2595
Nursing home name
HAWKEYE CARE CENTER DUBUQUE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hawkeye Care Center DubuqueCCN 165565 · All quality measures
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
For profit - Limited Liability company
Certified
Oct 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8073.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
16D0386137Hawkeye Care Center Dubuque5575 Pennsylvania Avenue, Asbury, IA 52002Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

5575 Pennsylvania Ave
Asbury, IA 52002
Phone (563) 583-6447

2900 100th St
Ste 203
Urbandale, IA 50322

Ownership & related parties

All disclosed owners & managing parties 29

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2024
Michael Thomas Hamm Individual Adp of the SNF Jan 1, 2020
Direct Ownership Interest Jan 1, 2024 10.06%
Individual Adp of the SNF Jan 1, 2024
Michelle Annette Elsesser Individual Adp of the SNF Jan 1, 2024
Direct Ownership Interest Jan 20, 2006 31.05%
Doris Ann Hamm Individual Adp of the SNF Jan 1, 2024
Direct Ownership Interest Jan 1, 2024 10.06%
Individual Adp of the SNF Aug 25, 2014
Premier Senior Management LLC Organization, Urbandale, IA LLC, Management services company, For-profit Operational/Managerial Control Sep 1, 2020
Adp of the SNF Jun 25, 2025
Brian Daniel Elsesser Individual Adp of the SNF Jan 1, 2024
Direct Ownership Interest Sep 29, 2002 6.76%
Kelly Jo Johnson Individual Adp of the SNF Jan 20, 2006
Direct Ownership Interest Jan 20, 2006 31.05%
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2024
Douglas Duane Johnson Individual Adp of the SNF Jan 1, 2024
Direct Ownership Interest Jan 20, 2006 11.02%
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2024
Mark P Runde Individual Operational/Managerial Control Jan 1, 2020
Adp of the SNF Jan 1, 2020
Reliant Pro Rehab, LLC Organization, Plano, TX LLC, Medical staffing company, For-profit Operational/Managerial Control Jul 1, 2023
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Mar 11, 2011
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Sep 1, 2021
Williams & Company PC Organization, Sioux City, IA Corporation Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jun 24, 2025
LTC Accounting Services, LLC Organization, Urbandale, IA LLC, For-profit Operational/Managerial Control Jul 1, 2020
Adp of the SNF Jun 24, 2025
Individual Adp of the SNF Aug 16, 2021
Tracey M Long Individual Operational/Managerial Control Jun 14, 2021
Adp of the SNF Jun 14, 2021
Individual Adp of the SNF Sep 7, 2010

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 16

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

View all 16

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1467415760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 100TH ST STE 203",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223851",
            "telephone_number": "152-230-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 PENNSYLVANIA AVE",
            "city": "ASBURY",
            "state": "IA",
            "postal_code": "520022595",
            "telephone_number": "563-583-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKEYE CARE CENTER OF DUBUQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-08",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "515-223-0173"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "310463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809806",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawkeye Care Center Dubuque",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hawkeye Care Center Dubuque",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asbury, IA

Sources for this page

Verify at the official NPI Registry.