Iowa Hospice, LLC
Organization Active NPI Community Based Hospice Care Agency · Panora, IA
NPI 1821075201 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1821075201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- IOWA HOSPICE, LLC
- Practice address
- 5399 Chimra Rd
Panora, IA 50216-8738 - Phone
- (641) 755-4114
- Fax
- (641) 755-4113
- NPI assigned
- Dec 28, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Janet Combs
- Title
- VP of Licensure
- Phone
- (704) 664-2876
Owners & managing parties with NPI records 19
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 2
Member of 1
Facilities with the same owner 195
Affiliated clinicians 2
-
Steve D Sohn, MD
Medicare Care Compare: Hospice
- Listed as
- Gentiva
- Ownership
- For-Profit
- Certified
- Aug 1, 2005
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2044271 | Iowa Hospice LLC | Certificate of waiver | Apr 12, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Hospice certification: CCN 161575
- Legal name
- IOWA HOSPICE LLC
- Doing business as
- GENTIVA
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 1, 2005
- Last certification
- Nov 24, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC · Proprietary
- Enrollment address
- 5399 Chimra Rd
Panora, IA 50216-8738
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| CH Services Midco Holdings Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| Kristen Denike |
W-2 Managing Employee |
Feb 25, 2026 | |
| Kentucky Homecare Parent Inc. |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Ronald C Lazas |
Corporate Officer |
Apr 27, 2021 | |
| Curo Health Services Holdings, Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| David Robinson Arnold |
Corporate Officer |
Dec 31, 2021 | |
| Operational/Managerial Control |
Dec 31, 2021 | ||
| Thomas Joseph Dolan |
Corporate Officer |
Nov 30, 2021 | |
| Charlotte Midco, LLC |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| Kentucky Homecare Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Humana Inc |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Falcon Hospice, LP |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| David Allen Causby |
Corporate Officer |
Apr 27, 2021 | |
| Charlotte Buyer, Inc. |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| Curo Health Services LLC |
5% Or Greater Direct Ownership Interest | Jul 11, 2018 | 100% |
| Operational/Managerial Control | Jul 11, 2018 | ||
| Janet L Combs |
Corporate Officer |
Nov 1, 2021 | |
| CD&R Falcon Holdings, LP |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| Centerwell Health Services Inc |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Kah Hospice Company, Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| Charles Francis Keller |
Contracted Managing Employee |
Jul 11, 2018 | |
| CH Services Group Holdings Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| CH Services Holdings Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050411001200 | IA | Part a Provider - Hospice | 3577500636 | Practice locations: Panora, IA |
National Provider Directory
- Tax ID family
- Gentiva
Locations
831 N Griffith Rd
Carroll, IA 51401
Phone (712) 792-2191
5399 Chimra Rd
Panora, IA 50216
Phone (641) 755-4114
1370 Lake St
Spirit Lake, IA 51360
Phone (712) 336-2941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
5399 Chimra Rd
Panora, IA 50216-8738
Mailing address
655 Brawley School Rd Ste 200
Mooresville, NC 28117-9601
Phone (704) 664-2876
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0615815 | Medicaid | IA |
Other names
- Gentiva
Other providers in Panora, IA
- Sarah Marie Hanson
- Amy Harland
- Harrelson Therapy Services, LLC
- Michael Harris
- Iowa Dental Health Professionals, P.C.
- Andrew Knorr
- Locale Anesthesia, P.C.
- Luis F Guzman Jr
- Panora Assisted Living, L.L.C.
- Panora Pharmacy Inc
All providers in Panora, IA · Community Based Hospice Care Agency in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.