Hospice of Siouxland

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

26 Issued in NE

Legal business name

HOSPICE OF SIOUXLAND

Practice address

3220 Plaza Dr Ste D
South Sioux City, NE 68776

Phone

(402) 404-8323

NPI assigned

Dec 20, 2010

Last updated

Jan 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaqueline M. Kreber

Title

Executive Director

Phone

(712) 252-9301

Specialties & licenses 1

Addresses

Member of 2

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

• Marian Health Center-SMHC

  dba MercyOne Siouxland Medical Center

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1538199617

  Member Of

  NPD member
• Northwest Iowa Hospital Corporation

  dba St Lukes Clinic Network

  • Internal Medicine Physician
  • Sioux City, IA
  • NPI 1194764001

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1477856011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 COOK ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511033707",
            "telephone_number": "712-233-4144",
            "fax_number": "712-233-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 PLAZA DR STE D",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "68776",
            "telephone_number": "402-404-8323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Hamilton Blvd",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511041139",
            "country_code": "US",
            "telephone_number": "712-233-4144",
            "fax_number": "712-233-1123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE OF SIOUXLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "KREBER",
        "authorized_official_first_name": "JAQUELINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-252-9301"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NE",
            "license": "26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Community Based Hospice Care Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.