NPIMap

Organization Active NPI

Mercy Medical Center

Doing business as Mercy Home Care

  • Home Health Agency
  • Cedar Rapids, IA
National Provider Identifier
1639119332
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
570036H Issued in IA
Legal business name
MERCY MEDICAL CENTER
Doing business as
Mercy Home Care
Practice address
2740 1St Ave NE
Cedar Rapids, IA 52402-4856
Phone
(319) 398-6034
Fax
(319) 398-6364
NPI assigned
Jun 8, 2006
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Gregory Dewolf
Title
Interim President & Ceo
Phone
(319) 398-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 570036H IA Primary

Addresses

Primary practice location

2740 1St Ave NE
Cedar Rapids, IA 52402-4856

Mailing address

701 10TH St SE
Cedar Rapids, IA 52403-1251
Phone (319) 398-6011

Other identifiers 2

IdentifierTypeStateIssuer
0671511MedicaidIA
A5240306OtherJOHN DEERE HEALTH CARE

Other names 1

  • Mercy Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090709000625 IA Part A Provider - Home Health Agency 4183535271 Practice locations: Cedar Rapids, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639119332. Details of each certification follow.

Home health agency certification: CCN 167151

Legal name
MERCY MEDICAL CENTER
Doing business as
MERCY HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 24, 1984
Last certification
Sep 1, 2016
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Enrollment address
2740 1St Ave NE
Cedar Rapids, IA 52402-4856
HHA Branch

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mercy Home CareCCN 167151 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 24, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

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
16D1090866Mercy Home Care2740 1St Avenue NE, Cedar Rapids, IA 52402Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Center10 organizations share this tax ID, including this one
Part of
Mercy Medical Center

Other organizations with this tax ID 9

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

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Gina R James Individual W-2 Managing EmployeeManager Home Care Oct 1, 2019 100%
Gregory B Dewolf Individual Corporate OfficerInterim President & C.E.O Apr 4, 2026
Corporate DirectorInterim President & C.E.O Apr 4, 2026
W-2 Managing Employee Apr 4, 2026
Cheryle W Mitvalsky Individual Corporate OfficerBoard Chairwoman Sep 30, 2016
Maurita Soukup Individual Corporate OfficerSecretary Sep 30, 2017
Fred J Pilcher Individual Corporate DirectorBoard Member Apr 1, 2014
Robert Cataldo Individual Corporate DirectorBoard Member Jul 1, 2017
Nancy L Kasparek Individual Corporate DirectorBoard Member Apr 1, 2014
Christopher D Dewolf Individual Corporate DirectorBoard Member Apr 1, 2014
Mercycare Service Corporation Organization, Cedar Rapids, IA Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Dec 1, 1989 100%
Operational/Managerial Control Dec 1, 1989 100%
Albert P Ruffalo Individual Corporate DirectorBoard Member Nov 19, 2007
Sharon Kerrigan Individual Corporate Director Jul 1, 2017
Mercy Medical Center Organization, Cedar Rapids, IA Corporation, Non-profit Operational/Managerial Control Mar 19, 1962
Barrie W Ernst Individual Corporate DirectorBoard Member Apr 1, 2014
Barbara Allison Knapp Individual Corporate DirectorBoard Member Nov 19, 2007
Rupak H Patel Individual Corporate DirectorBoard Member Sep 28, 2006
Michele M Busse Individual Corporate DirectorBoard Member Nov 19, 2007
Charles a Rohde Individual Corporate DirectorBoard Member Nov 19, 2007
John-Paul E Besong Individual Corporate DirectorBoard Member Apr 1, 2014
Mary K Quass Individual Corporate DirectorBoard Member Nov 19, 2007

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Terrace Glen VillageMarion, IA, CCN 165625 Skilled nursing facility Adp of the SNF Nov 1, 2024
Hallmar VillageCedar Rapids, IA, CCN 165798 Skilled nursing facility Operational/Managerial Control (50%)
Adp of the SNF		 Aug 30, 2023
Oct 2, 2025
Hospice of MercyHiawatha, IA, CCN 161512 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 1, 1989

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 57

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

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1639119332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-398-6011",
            "fax_number": "319-398-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024856",
            "telephone_number": "319-398-6034",
            "fax_number": "319-398-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY MEDICAL CENTER",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "DEWOLF",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "INTERIM PRESIDENT & CEO",
        "authorized_official_telephone_number": "319-398-6101"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": "570036H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671511",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH CARE",
            "identifier": "A5240306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.