Organization Active NPI

Hospice of Central Iowa

  • Community Based Hospice Care Agency
  • Des Moines, IA
National Provider Identifier
1881699486
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF CENTRAL IOWA
Practice address
3000 Easton Blvd
Des Moines, IA 50317
Phone
(515) 274-3400
Fax
(515) 274-1137
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Susan Maffin
Title
Administrative Assistant
Phone
(515) 333-4261

Specialties & licenses 1

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

Addresses

Primary practice location

3000 Easton Blvd
Des Moines, IA 50317

Mailing address

3000 Easton Blvd
Des Moines, IA 50317-3124
Phone (515) 274-3400

Other identifiers 2

IdentifierTypeStateIssuer
61500OtherIAWELLMARK BC/BS
0615005MedicaidIA

Other names 1

  • EveryStep Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

204 S Jefferson St
Mount Pleasant, IA 52641
Phone (319) 385-4472

715 W McLane St
Osceola, IA 50213
Phone (641) 342-2888

402 12th St
Perry, IA 50220
Phone (515) 465-4705

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2019 Change of OwnershipThis provider was the seller EverystepCCN 161500, IA, NPI 1275096919

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1881699486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 EASTON BLVD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503173124",
            "telephone_number": "515-274-3400",
            "fax_number": "515-274-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 EASTON BLVD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50317",
            "telephone_number": "515-274-3400",
            "fax_number": "515-274-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF CENTRAL IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "MAFFIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "515-333-4261"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "61500",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615005",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EveryStep",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.