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Organization Active NPI

Sioux Center Health

Doing business as Sioux Center Health Home Care and Hospice

  • Home Health Agency
  • Sioux Center, IA
National Provider Identifier
1962517664
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
840080H Issued in IA
Legal business name
SIOUX CENTER HEALTH
Doing business as
Sioux Center Health Home Care and Hospice
Practice address
1400 7TH Ave SE
Sioux Center, IA 51250-1199
Phone
(712) 722-8108
Fax
(712) 722-1294
NPI assigned
Aug 20, 2006
Organization subpart
Yes
Parent organization
SIOUX CENTER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Crystal Richter
Title
Cfo
Phone
(712) 722-8153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 840080H IA Primary

Addresses

Primary practice location

1400 7TH Ave SE
Sioux Center, IA 51250-1199

Mailing address

1101 9TH St SE
Sioux Center, IA 51250-2501
Phone (712) 722-1271

Other identifiers 1

IdentifierTypeStateIssuer
0671644MedicaidIA

Other names 1

  • Sioux Center Health Home Care and Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030613000020 IA Part A Provider - Home Health Agency 9032027495 Practice locations: Sioux Center, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962517664. Details of each certification follow.

Home health agency certification: CCN 167164

Legal name
SIOUX CENTER HEALTH
Doing business as
SIOUX CENTER HEALTH HOME CARE AND HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 21, 1985
Last certification
Nov 18, 2020
Ownership / control type
Government Operated
Organization structure
CorporationNon-profit
Incorporated
Jan 27, 1948 in IA
Enrollment address
1400 7TH Ave SE
Sioux Center, IA 51250-1199

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sioux Center Home Health and HospiceCCN 167164 · All quality measures
Overall star rating
2.5 of 5
Ownership
Government Operated
Certified
Jun 21, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Sioux Ctr Comm Hosp HLTH11 organizations share this tax ID, including this one
Part of
Sioux Ctr Comm Hosp HLTH

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Kim Vonk Individual Operational/Managerial Control Oct 1, 2018
Karen L Bentsen Individual W-2 Managing EmployeeSenior Services Officer Dec 16, 2019
Jennifer Roghair Individual Operational/Managerial Control Oct 1, 2018
Jenni Mellema Individual W-2 Managing Employee Dec 1, 2022
Cory Nelson Individual Corporate Officer Sep 24, 2018
Crystal Richter Individual Corporate OfficerCfo Sep 1, 2022

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Sioux Center HealthSioux Center, IA, CCN 161346 Hospital Operational/Managerial Control Oct 17, 2007
Sioux Center HealthSioux Center, IA, CCN 16Z346 Hospital Operational/Managerial Control Oct 17, 2007
Royale Meadows Care CenterSioux Center, IA, CCN 165157 Skilled nursing facility Operational/Managerial Control Dec 9, 2022
Sioux Center Health Home Care and HospiceSioux Center, IA, CCN 161519 Hospice Operational/Managerial Control Oct 24, 1991

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 9

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1962517664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 9TH ST SE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512502501",
            "telephone_number": "712-722-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 7TH AVE SE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501199",
            "telephone_number": "712-722-8108",
            "fax_number": "712-722-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUX CENTER HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIOUX CENTER HEALTH",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "712-722-8153"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": "840080H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671644",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sioux Center Health Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sioux Center Health Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Center, IA

Sources for this page

Verify at the official NPI Registry.