NPIMap

Organization Active NPI

Hospice of Dubuque

  • Community Based Hospice Care Agency
  • Dubuque, IA
National Provider Identifier
1801890892
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lavonne Noel
Title
Executive Director
Phone
(563) 582-1220

Owners & managing parties with NPI records 1

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 52

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

View all 52

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of DubuqueCCN 161514
Ownership
Non-Profit
Certified
Feb 24, 1990
Medicare certification status
Active (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
16D0907433Hospice of Dubuque1670 John F Kennedy Road, Dubuque, IA 52002Certificate of waiverOct 12, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Hospice certification: CCN 161514

Medicare enrollment files
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

All disclosed owners & managing parties 19

Medicare enrollment files

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

NameRoleSinceShare
Tina Knockel Individual Corporate DirectorDirector Jan 16, 2025
Bonnie Hancock Individual Corporate OfficerSecretary Jan 1, 2026
Corporate DirectorDirector Jan 1, 2020
Jackie Brehm Individual W-2 Managing EmployeeFinancial Director Mar 1, 2011
Allen G. Meurer Individual Corporate DirectorDirector Jan 1, 2018
Stasia Brannon Individual Corporate DirectorDirector Jan 16, 2025
Michael Sinkey Individual Corporate OfficerTreasurer Apr 1, 2023
Corporate DirectorDirector Jan 1, 2020
Gregory F Birkett Individual Corporate OfficerVice President Jan 1, 2026
Corporate DirectorDirector Jan 1, 2013
James P Mehltretter Individual Corporate Director Apr 1, 2023
Kimberly Obrien Individual Corporate DirectorDirector Jan 15, 2026
Thomas R Anderegg Individual Corporate DirectorBoard Member Jan 1, 2024
Vicki Dirksen Individual Corporate Director Apr 1, 2023
Melvin L Harvey Individual Corporate DirectorDirector Jan 15, 2026
Jeremy Wulfekuhle Individual Corporate DirectorBoard Member Jan 1, 2021
Lavonne K Noel Individual W-2 Managing EmployeeExecutive Director May 14, 2010
Bryson Winsky Individual Corporate DirectorBoard Member Jan 1, 2021
Lois Schueller Individual Corporate OfficerPresident Jan 1, 2026
Corporate DirectorBoard Member Jan 1, 2021
Daniel J Knepper Individual Corporate DirectorDirector Jan 1, 2018
Troy a Wright Individual Corporate DirectorDirector Jan 1, 2013
Brian E Sullivan Individual Contracted Managing EmployeeMedical Director Jan 1, 2024

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20100806000509 IA Part a Provider - Hospice 6406989763 Practice locations: Dubuque, IA
O20190122002521 IA Part B Supplier - Clinic/Group Practice 6406989763 Receives reassigned benefits from 4 practitioners
Practice locations: Dubuque, IA

National Provider Directory

National Provider Directory

Locations

1201 Park St
Bellevue, IA 52031
Phone (563) 872-5521

3355 Kennedy Cir
Dubuque, IA 52002
Phone (563) 556-7560

1670 John F Kennedy Rd
Dubuque, IA 52002
Phone (563) 582-1220

218 Sinsinawa Ave
East Dubuque, IL 61025
Phone (815) 747-3622

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2001618 IL
Community Based Hospice Care Agency 251G00000X 562 WI
Community Based Hospice Care Agency 251G00000X IA Primary

Addresses

NPPES NPI Registry

Primary practice location

1670 John F Kennedy Rd
Dubuque, IA 52002-5106

Mailing address

1670 John F Kennedy Rd
Dubuque, IA 52002-5106
Phone (563) 582-1220

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
3000738OtherIAMEDICAL ASSOCIATES HEALTH
43187800MedicaidWI
61514OtherIAWELLMARK BCBS OF IOWA
0615146MedicaidIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 3, 2011.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSOCIATES HEALTH",
            "identifier": "3000738",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43187800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IOWA",
            "identifier": "61514",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615146",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.