NPIMap

Organization Active NPI

Essence of Life LLC

Doing business as Essence of Life Hospice

  • Community Based Hospice Care Agency
  • Amana, IA
National Provider Identifier
1497817803
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ESSENCE OF LIFE LLC
Doing business as
Essence of Life Hospice
Practice address
3207 220TH TRL
Amana, IA 52203-8206
Phone
(319) 622-3195
Fax
(319) 622-3330
NPI assigned
Dec 14, 2006
Last updated
Aug 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
James E Wilkes
Title
Managing Member
Phone
(319) 626-4710

Specialties & licenses 1

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

Addresses

Primary practice location

3207 220TH TRL
Amana, IA 52203-8206

Mailing address

3207 220TH TRL
Amana, IA 52203-8206
Phone (319) 622-3195

Other names 1

  • ESSENCE OF LIFE HOSPICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110908001860 IA Part A Provider - Hospice 0446420053 Practice locations: Amana, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497817803. Details of each certification follow.

Hospice certification: CCN 161580

Legal name
ESSENCE OF LIFE LLC
Doing business as
ESSENCE OF LIFE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 20, 2007
Last certification
Apr 8, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Jun 23, 2011 in IA
Enrollment address
606 39TH Ave
Amana, IA 52203-8016

Care Compare: Hospice

Medicare Care Compare
Listed as
Essence of Life HospiceCCN 161580 · All quality measures
Ownership
Other
Certified
Mar 20, 2007
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
16D2193476Essence of Life Hospice606 39TH Ave PO Box 333, Amana, IA 52203Certificate of waiverSep 21, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

606 39th Ave
Amana, IA 52203
Phone (319) 622-3195

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Ronald W Dose Individual Operational/Managerial ControlMedical Director Jan 12, 2015
Jacqueline a Aanestad Individual Contracted Managing EmployeeAdministrator Sep 1, 2013 100%
5% Or Greater Direct Ownership Interest May 1, 2019 27%
Jason Daniel Solberg Individual 5% Or Greater Direct Ownership Interest Jul 1, 2011 5%
Rodney Allen Buch Individual 5% Or Greater Direct Ownership Interest Jul 1, 2011 5%
Angela Dawn Buch Individual 5% Or Greater Direct Ownership Interest Jul 1, 2011 5%
Kristin Michelle Schmidt-Solberg Individual 5% Or Greater Direct Ownership Interest Jul 1, 2011 5%
James Edwin Wilkes Individual 5% Or Greater Direct Ownership Interest Jul 1, 2011 51%
Operational/Managerial ControlManaging Member Jul 1, 2011 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1497817803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 220TH TRL",
            "city": "AMANA",
            "state": "IA",
            "postal_code": "522038206",
            "telephone_number": "319-622-3195",
            "fax_number": "319-622-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 220TH TRL",
            "city": "AMANA",
            "state": "IA",
            "postal_code": "522038206",
            "telephone_number": "319-622-3195",
            "fax_number": "319-622-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE OF LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "319-626-4710"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESSENCE OF LIFE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ESSENCE OF LIFE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amana, IA

Sources for this page

Verify at the official NPI Registry.