Hospice of Dubuque

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE OF DUBUQUE

Practice address

1670 John F Kennedy Rd
Dubuque, IA 52002-5106

Phone

(563) 582-1220

Fax

(563) 582-8089

NPI assigned

Jun 8, 2005

Last updated

May 3, 2011By 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

Lavonne Noel

Title

Executive Director

Phone

(563) 582-1220

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801890892. Details of each certification follow.

• CCN 161514 Hospice · Active · Details

Hospice certification: CCN 161514

Legal name

HOSPICE OF DUBUQUE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 24, 1990

Last certification

Mar 24, 2021

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Nov 12, 1982 in IA

Enrollment address

1670 John F Kennedy Rd
Dubuque, IA 52002-5106

Listed as

Hospice of DubuqueCCN 161514 · All quality measures

Ownership

Non-Profit

Certified

Feb 24, 1990

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Brian Edward Sullivan, M.D.

  • Internal Medicine Physician
  • Dubuque, IA
  • NPI 1194771048

  Contracted Managing Employee

  CMS ownership

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Gothard, ARNP

  • Nurse Practitioner
  • Dubuque, IA
  • NPI 1437962917
  Medicare reassignment Care Compare group NPD
• Shelby Kronlage, ARNP

  • Family Nurse Practitioner
  • Dubuque, IA
  • NPI 1942609482
  Medicare reassignment Care Compare group NPD
• Jessica Steger, ARNP

  • Nurse Practitioner
  • Dubuque, IA
  • NPI 1437882487
  Medicare reassignment Care Compare group NPD
• Catherine E Hermsen, N.P.

  • Adult Health Nurse Practitioner
  • Dubuque, IA
  • NPI 1083931570
  Medicare reassignment NPD

Affiliated clinicians 52

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

• Honorio Jeronimo Caceres, M.D.

  • Infectious Disease Physician
  • Dubuque, IA
  • NPI 1639128010

  Hospice

  Care Compare affiliation
• Zhengjin Cao, M.D.

  • Internal Medicine Physician
  • Dubuque, IA
  • NPI 1861616039

  Hospice

  Care Compare affiliation
• Eric S. Engelman, D.O.

  • Hematology & Oncology Physician
  • Dubuque, IA
  • NPI 1699970558

  Hospice

  Care Compare affiliation
• Jared J Freiburger, DO

  • Family Medicine Physician
  • Dubuque, IA
  • NPI 1861443863

  Hospice

  Care Compare affiliation
• Naomi Hasselblad, M.D.

  • Internal Medicine Physician
  • Dubuque, IA
  • NPI 1205280468

  Hospice

  Care Compare affiliation
• Emily C Haverland, ARNP

  • Family Nurse Practitioner
  • Dubuque, IA
  • NPI 1790406510

  Hospice

  Care Compare affiliation
• Mark E. Hermann, M.D.

  • Hematology & Oncology Physician
  • Dubuque, IA
  • NPI 1639148810

  Hospice

  Care Compare affiliation
• Haley Elizabeth Hoffmann, DNP, ARNP, FNP-BC

  • Nurse Practitioner
  • Dyersville, IA
  • NPI 1255113361

  Hospice

  Care Compare affiliation
• Angela Hubanks, PA-C

  • Medical Physician Assistant
  • Dubuque, IA
  • NPI 1356538300

  Hospice

  Care Compare affiliation
• Jeffrey Michael Hunter, M.D.

  • Family Medicine Physician
  • Bellevue, IA
  • NPI 1023125796

  Hospice

  Care Compare affiliation
• Sherry Lynn Kelchen, A.R.N.P.

  • Nurse Practitioner
  • Cascade, IA
  • NPI 1477504124

  Hospice

  Care Compare affiliation
• Angela Diane Kelley, D.O.

  • Internal Medicine Physician
  • Dubuque, IA
  • NPI 1881654473

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1801890892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025106",
            "telephone_number": "563-582-1220",
            "fax_number": "563-582-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025106",
            "telephone_number": "563-582-1220",
            "fax_number": "563-582-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF DUBUQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "LAVONNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "563-582-1220"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2001618",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WI",
            "license": "562",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Hora, DO
• Alex M Horchak, M.D.
• Christine A Horchak, P.A.-C
• Marsha Horwitz, M.D.
• Ann Hosch
• Jaclyn Marie Houseal, FNP-BC
• Susan M Houselog, A.R.N.P.
• Lynette Marie Howe, LISW
• Lynn Marie Howland, OD
• Ellen P Hoy, DDS

• Community Based Hospice Care Agency in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Community Based Hospice Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.