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Organization Active NPI

Unitypoint at Home

  • Community Based Hospice Care Agency
  • Moline, IL
National Provider Identifier
1639472178
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
UNITYPOINT AT HOME
Practice address
106 19TH Ave
Suite 101
Moline, IL 61265-3700
Phone
(309) 779-7600
Fax
(833) 977-4900
NPI assigned
Dec 6, 2010
Organization subpart
Yes
Parent organization
UNITYPOINT AT HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Marissa A Smith
Title
VP/Chief Compliance Officer
Phone
(515) 557-3100

Specialties & licenses 1

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

Addresses

Primary practice location

106 19TH Ave
Suite 101
Moline, IL 61265-3700

Mailing address

1776 W Lakes Pkwy Ste 400
West Des Moines, IA 50266-8378
Phone (515) 557-3100

Other names 1

  • UnityPoint Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110324000330 IL Part A Provider - Hospice 3678484615 Practice locations: Moline, IL; Muscatine, IA

Hospice certification: CCN 141583

Legal name
UNITYPOINT AT HOME
Doing business as
UNITYPOINT HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 20, 1995
Last certification
Feb 9, 2022
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Mar 20, 1998 in IA
Enrollment address
106 19TH Ave
Ste 101
Moline, IL 61265-3700

Other NPIs with the same Medicare PAC ID 22

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

View all 22

Care Compare: Hospice

Medicare Care Compare
Listed as
Unitypoint HospiceCCN 141583
Ownership
Non-Profit
Certified
Jul 20, 1995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Unitypoint at Home25 organizations share this tax ID, including this one
Part of
Unitypoint at Home

Other organizations with this tax ID 24

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

View all 24

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Eric M Neverman Individual Corporate DirectorBoard Member, Chair Jan 1, 2021
Todd M Wenck Individual Corporate DirectorBoard Member, Chair-Elect Jan 1, 2021
Krista a Bishop Individual W-2 Managing EmployeeVP of Hospice Nov 14, 2022
Leonard Keeven Individual W-2 Managing EmployeeMedical Director Jan 1, 2024
Michael Welsch Individual Corporate OfficerTreasurer/VP Ops Fin and Rev. Cycle Jul 1, 2024
W-2 Managing EmployeeVP Ops Finance and Revenue Cycle Jul 1, 2024
Lance Horbach Individual Corporate DirectorBoard Member Jan 1, 2024
Scott Kizer Individual Corporate OfficerUph President and Ceo Oct 9, 2023
Andrea White Individual Corporate DirectorBoard Member Dec 31, 2022
Unitypoint at Home Organization, West Des Moines, IA Corporation, Non-profit Operational/Managerial Control Mar 20, 1998
Marissa Smith Individual W-2 Managing EmployeeVP Accreditation and Reg. Affairs May 8, 2001
Debra a Shriver Individual Corporate DirectorBoard Member Jan 1, 2023
Debra D Johnson Individual Corporate DirectorBoard Member Jan 1, 2017
Iowa Health System Organization, West Des Moines, IA Corporation, Non-profit Operational/Managerial Control Mar 20, 1998 100%
Andrea Lynn Bomelyn Individual W-2 Managing EmployeeClinical Supervisor Mar 18, 2023
Jane M Arnold Individual Corporate DirectorBoard Member Jan 1, 2024
Amanda C Koehler Individual W-2 Managing EmployeeHospice Administrator Mar 28, 2022
Dianna L Edwards Individual Corporate DirectorBoard Member Jan 1, 2020
Kenneth Felz Individual Corporate DirectorBoard Member Jan 1, 2024
Jennifer Ofelt Individual Corporate OfficerUpah President Jul 30, 2023
Corporate DirectorBoard Member, Secretary Jul 1, 2024
W-2 Managing EmployeeUpah President Jul 30, 2023
Brian C Scott Individual Corporate DirectorBoard Member Jan 1, 2017
Deborah Freiburg Individual Corporate DirectorBoard Member Jan 1, 2023

Owners & managing parties with NPI records 27

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

View all 27

All facility ownership & control disclosures 10

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

FacilityTypeRoleSince
Unitypoint at Home-DubuqueDubuque, IA, CCN 167002 Home health agency Operational/Managerial Control (90%) Mar 20, 1998
Unitypoint at HomeUrbandale, IA, CCN 167148A Home health agency Operational/Managerial Control Mar 20, 1998
Unitypoint at HomeMoline, IL, CCN 147009 Home health agency Operational/Managerial Control Mar 20, 1998
Unitypoint at HomeWaterloo, IA, CCN 167147 Home health agency Operational/Managerial Control Mar 20, 1998
Unitypoint at HomeStorm Lake, IA, CCN 167180 Home health agency Operational/Managerial Control Mar 20, 1998
Unitypoint at HomeCedar Rapids, IA, CCN 167005 Home health agency Operational/Managerial Control Mar 20, 1998
Unitypoint HospiceUrbandale, IA, CCN 161554A Hospice Operational/Managerial Control Mar 20, 1998
Unitypoint HospiceFort Dodge, IA, CCN 161549 Hospice Operational/Managerial Control Mar 20, 1998
Unitypoint HospiceWaterloo, IA, CCN 161598 Hospice Operational/Managerial Control Mar 20, 1998
Unitypoint HospiceCedar Rapids, IA, CCN 161516 Hospice Operational/Managerial Control Mar 20, 1998

Owned or controlled facilities with NPI records 10

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

Facilities with the same owner 66

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

View all 66

Practitioners & affiliated clinicians

Affiliated clinicians 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1639472178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 W LAKES PKWY STE 400",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668378",
            "telephone_number": "515-557-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 19TH AVE",
            "address_2": "SUITE 101",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653700",
            "telephone_number": "309-779-7600",
            "fax_number": "833-977-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITYPOINT AT HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITYPOINT AT HOME",
        "enumeration_date": "2010-12-06",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP/CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "515-557-3100"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnityPoint Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UnityPoint Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.