Organization Active NPI

Care Initiatives

Doing business as Care Initiatives Hospice - Sioux City

  • Community Based Hospice Care Agency
  • Sioux City, IA
National Provider Identifier
1467618942
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CARE INITIATIVES
Doing business as
Care Initiatives Hospice - Sioux City
Practice address
4301 Sergeant Rd
Suite 110
Sioux City, IA 51106
Phone
(712) 239-1226
NPI assigned
Aug 4, 2008
Last updated
Nov 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Mr. Dave Dixon
Title
Vice President/Cfo
Phone
(515) 224-4442

Specialties & licenses 1

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

Addresses

Primary practice location

4301 Sergeant Rd
Suite 110
Sioux City, IA 51106

Mailing address

1611 W Lakes Pkwy
West Des Moines, IA 50266-8212
Phone (515) 223-3813

Other identifiers 1

IdentifierTypeStateIssuer
0615920MedicaidIA

Other names 1

  • Care Initiatives Hospice - Sioux City Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080902000174 IA Part A Provider - Hospice 3870575350 Practice locations: Sioux City, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467618942. Details of each certification follow.

Hospice certification: CCN 161592

Legal name
CARE INITIATIVES
Doing business as
CARE INITIATIVES HOSPICE SIOUX CITY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 16, 2009
Last certification
Oct 15, 2020
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1989 in TX
Enrollment address
4301 Sergeant Rd
Ste 110
Sioux City, IA 51106-4710

Care Compare: Hospice

Medicare Care Compare
Listed as
Care Initiatives Hospice - Sioux CityCCN 161592 · All quality measures
Ownership
Non-Profit
Certified
Sep 16, 2009
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
16D1088654Care Initiatives Hospice-Sioux City4301 Sergeant Road, Suite 110, Sioux City, IA 51106Certificate of waiverAug 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Care Initiatives8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

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 Apr 1, 2023
Linda L Upmeyer Individual Corporate DirectorBoard Member Jan 1, 2022
Emily Drake Individual Corporate OfficerVice President & Chief Legal Office Jan 4, 2023
Jeramy D Kuhn Individual Corporate OfficerCorporate Compliance Officer Jun 25, 2008
Keith K Krein Individual Corporate DirectorBoard Member Jan 1, 2022
Andrew J Geha Individual OtherMedical Director Jan 1, 2024
Mary Jane Carothers Individual Corporate DirectorBoard Member Jan 1, 2023
Megan Skinner Individual W-2 Managing EmployeeAdministrator May 9, 2023
Denise D Sturm Individual Corporate DirectorBoard Member Jan 1, 2022
Jennifer White Individual Corporate OfficerVice President of Hospice Jan 1, 2024
Wells Fargo Bank Organization, Minneapolis, MN For-profit 5% Or Greater Mortgage Interest May 1, 1996 16.74%
Elizabeth Rust Individual Corporate DirectorBoard Member Jan 1, 2023
Michael W Beal Individual Corporate OfficerPresident/Ceo Jun 1, 2020
Corporate DirectorBoard Member Jun 1, 2020
Lane Morrell Bowen Individual Corporate DirectorBoard Member Jan 1, 2021
David B Dixon Individual Corporate OfficerVP/Cfo Jun 1, 2016

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 45

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Atlantic Specialty CareAtlantic, IA, CCN 165288 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Fonda Specialty CareFonda, IA, CCN 165312 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2011
Westwood Specialty CareSioux City, IA, CCN 165271 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2011
Care InitiativesKnoxville, IA, CCN 165308 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Crestview Specialty CareWest Branch, IA, CCN 165287 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2011
Bedford Specialty CareBedford, IA, CCN 165292 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
Northern Mahaska Specialty CareOskaloosa, IA, CCN 165274 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
State Center Specialty CareState Center, IA, CCN 165390 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2000
Dunlap Specialty CareDunlap, IA, CCN 165193 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Montezuma Specialty CareMontezuma, IA, CCN 165295 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2000
Lantern Park Specialty CareCoralville, IA, CCN 165214 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
Southridge Specialty CareMarshalltown, IA, CCN 165209 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
Panora Specialty CarePanora, IA, CCN 165253 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Mechanicsville Specialty CareMechanicsville, IA, CCN 165263 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Pinnacle Specialty CareCedar Falls, IA, CCN 165298 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Ravenwood Specialty CareWaterloo, IA, CCN 165251 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Dubuque Specialty CareDubuque, IA, CCN 165228 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Northcrest Specialty CareWaterloo, IA, CCN 165165 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Heritage Specialty CareCedar Rapids, IA, CCN 165310 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
New London Specialty CareNew London, IA, CCN 165404 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
Southern Hills Specialty CareOsceola, IA, CCN 165293 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Chariton Specialty CareChariton, IA, CCN 165305 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Eldora Specialty CareEldora, IA, CCN 165316 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Stratford Specialty CareStratford, IA, CCN 165270 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Kingsley Specialty CareKingsley, IA, CCN 165329 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Centerville Specialty CareCenterville, IA, CCN 165225 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Manly Specialty CareManly, IA, CCN 165226 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
Wapello Specialty CareWapello, IA, CCN 165452 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Correctionville Specialty CareCorrectionville, IA, CCN 165323 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Belle Plaine Specialty CareBelle Plaine, IA, CCN 165349 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Cherokee Specialty CareCherokee, IA, CCN 165330 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Corning Specialty CareCorning, IA, CCN 165285 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1989
Oakwood Specialty CareAlbia, IA, CCN 165313 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Lamoni Specialty CareLamoni, IA, CCN 165314 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Parkridge Specialty CarePleasant Hill, IA, CCN 165345 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
Avoca Specialty CareAvoca, IA, CCN 165294 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Lyon Specialty CareRock Rapids, IA, CCN 165215 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Laporte City Specialty CareLa Porte City, IA, CCN 165300 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Ridgewood Specialty CareOttumwa, IA, CCN 165223 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Corydon Specialty CareCorydon, IA, CCN 165222 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Nov 12, 2010
Sep 29, 1998
Sibley Specialty CareSibley, IA, CCN 165401 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Creston Specialty CareCreston, IA, CCN 165199 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Odebolt Specialty CareOdebolt, IA, CCN 165180 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 12, 2010
Care Initatives Hospice GreenfieldGreenfield, IA, CCN 161595 Hospice 5% Or Greater Direct Ownership Interest (100%) Feb 4, 2014
Care Initiatives Hospice - OmahaOmaha, NE, CCN 281561 Hospice 5% Or Greater Direct Ownership Interest (100%) Jun 3, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1467618942",
    "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": "515-223-3813",
            "fax_number": "515-224-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 SERGEANT RD",
            "address_2": "SUITE 110",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51106",
            "telephone_number": "712-239-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE INITIATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "515-224-4442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615920",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Initiatives Hospice - Sioux City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Initiatives Hospice - Sioux City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.