GREAT RIVER HOME HEALTH AND HOSPICE
NPI 1053315002
Hospice Care, Community Based in West Burlington, IA

Active since June 08, 2005CLIA Certified · 3 labs
1306 S WASHINGTON RD, WEST BURLINGTON, IA 52655(319) 768-3626(319) 768-3633 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 9, 2024, Oct 17, 2022, Jul 23, 2021 and 1 more (4 updates tracked since 2018).

About Great River Home Health And Hospice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT RIVER HOME HEALTH AND HOSPICE (NPI 1053315002) is a healthcare organization registered as a hospice care, community based in West Burlington, Iowa and active in the NPI registry since June 2005. The organization holds 3 active CLIA laboratory certificates and lists Michael J Mccoy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053315002
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.
Location Address1306 S WASHINGTON RDWest Burlington, IA 52655-1703
Mailing AddressPo Box 668West Burlington, IA 52655-0668 · (319) 768-3628 · Fax (319) 768-3633
Fax(319) 768-3633
Organization SubpartNo
Authorized OfficialMichael J MccoyCeo · (319) 768-6268
Enumeration DateJune 8, 2005
Last NPPES UpdateSeptember 9, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1053315002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License Licensed in IA · 290147H
1306 S WASHINGTON RD, West Burlington, IA 52655

Other Names 2

Doing Business AsGreat River Home Health And Hospice
Doing Business AsSoutheast Iowa Regional Hospice

Other Identifiers 2

Other61567IA · Bcbs
Other161567IA · Commercial

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D1071808

Southeast Iowa Regional Home Health & Hospice · West Burlington, IA
Active · expires Jul 31, 2027
CLIA Number16D1071808
Laboratory TypeHospice
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorAlexander Pederson
Laboratory Phone(319) 768-3350
Laboratory LocationSoutheast Iowa Regional Home Health & Hospice1306 South Washington Road, West Burlington, IA 52655
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D1015050

Southeast Iowa Regional Medical Center Wb Waived · West Burlington, IA
Active · expires Jul 21, 2027
CLIA Number16D1015050
Laboratory TypeHospital
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorAlexander D. Pederson
Laboratory Phone(319) 768-4529
Laboratory LocationSoutheast Iowa Regional Medical Center Wb Waived1221 South Gear Avenue, West Burlington, IA 52655
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 16D0685370

Southeast Iowa Regional Medical Center - Wb · West Burlington, IA
Active · expires Feb 27, 2027
CLIA Number16D0685370
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Alexander D. Pederson
Laboratory Phone(319) 768-4525
Laboratory LocationSoutheast Iowa Regional Medical Center - Wb1221 South Gear Avenue, West Burlington, IA 52655
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Southeast Iowa Regional Hospice (CMS certification number 161567), from CMS Care Compare.

Southeast Iowa Regional Hospice

Hospice · West Burlington, IA
OwnershipNon-Profit
CMS Certification Number161567
CMS RegionRegion 7
Medicare-Certified SinceMarch 6, 2002
Average Daily Census32patients per day on average
Location1306 South Washington RoadWest Burlington, IA 52655 · Des Moines County
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home53%
Assisted living facility9%
Nursing facility25%
Skilled nursing facility0%
Inpatient hospice facility4%
Inpatient hospital0%
Other locations9%
Patients with cancer
25%
Patients with dementia
9%
Patients with circulatory or heart disease
12%
Patients with respiratory disease
10%
Patients with stroke
3%
Patients with other conditions
10%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
461 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
461 patient stays
99.8%
Hospice and Palliative Care Pain Screening
461 patient stays
98.7%
Hospice and Palliative Care Pain Assessment
267 patient stays
100%
Hospice and Palliative Care Dyspnea Screening
461 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
220 patient stays
97.7%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
173 patient stays
99.4%
Hospice and Palliative Care Composite Process Measure
461 patient stays
97.2%
Hospice Visits in the Last Days of Life
441 patient stays
74.8%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
10/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 94
2.3%
Gaps in nursing visits
National percentile 17
28.5%
Early live discharges
National percentile 21
1.7%
Late live discharges
National percentile 6
15.3%
Burdensome transitions, Type 1
National percentile 22
1.7%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 5
$7,293
Nurse care minutes per routine home care days
National percentile 88
17.4 minutes
Skilled nursing minutes on weekends
National percentile 64
9.3%
Visits near death
National percentile 76
96.5%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
1306 S WASHINGTON RD
WEST BURLINGTON, IA 52655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Iowa Regional Medical Center, Inc.'s NPI number?

The NPI number for Southeast Iowa Regional Medical Center, Inc. is 1053315002. It was assigned to this organization in the NPPES registry on June 8, 2005. The provider is doing business as Great River Home Health And Hospice and Southeast Iowa Regional Hospice.

Where is Southeast Iowa Regional Medical Center, Inc. located?

Southeast Iowa Regional Medical Center, Inc. is located at 1306 S Washington Rd, West Burlington, IA 52655. The listed phone number is (319) 768-3626.

What is Southeast Iowa Regional Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Southeast Iowa Regional Medical Center, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Southeast Iowa Regional Medical Center, Inc. a Medicare-certified hospice?

Yes. Southeast Iowa Regional Hospice is a Medicare-certified hospice (CMS certification number 161567), certified since March 6, 2002.

What insurance does Southeast Iowa Regional Medical Center, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Southeast Iowa Regional Medical Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Iowa Regional Medical Center, Inc. was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.