HOSPICE OF SIOUXLAND
NPI 1477856011
Hospice Care, Community Based in South Sioux City, NE

NPI Status: Active since December 20, 2010

Contact Information

3220 PLAZA DR STE D
SOUTH SIOUX CITY, NE
ZIP 68776
Phone: (402) 404-8323

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  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance
  • CLIA Number: 28D2028270
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 08-10-2026

About HOSPICE OF SIOUXLAND

This page provides the complete NPI Profile along with additional information for Hospice Of Siouxland, a provider established in South Sioux City, Nebraska operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1477856011 assigned on December 2010. The practitioner's primary taxonomy code is 251G00000X with license number 26 (NE). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jaqueline M. Kreber (Executive Director)

NPI
1477856011
Provider Name
HOSPICE OF SIOUXLAND
Entity Type
Organization
Location Address
3220 PLAZA DR STE D SOUTH SIOUX CITY, NE 68776
Location Phone
(402) 404-8323
Mailing Address
309 COOK ST SIOUX CITY, IA 51103
Mailing Phone
(712) 233-4144
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2010
Last Update Date
01-08-2024
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According to the Hospice Quality Reporting Program (HQRP) data this facility is non-profit and was certified on 05-05-1984 This facility was recently evaluated on the following quality measures: average daily census, average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient with both medicare and medicaid coverage during one year and hospice served at least 1 patient enrolled in medicare advantage during one year, etc.

Location Map

Secondary Locations

  • 4300 Hamilton Blvd
    Sioux City, IA 51104
    (712) 233-4144

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
26
License State
NE

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - EPO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - EPO
  • Focused Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision - EPO
  • HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO - PPO
  • HeartlandBlue Gold Standard 2000 NEtwork Blue - EPO
  • HeartlandBlue Gold Standard 2000 NEtwork Blue PPO - PPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO - PPO
  • HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision - EPO
  • HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision PPO - PPO
  • HeartlandBlue Silver Standard 6000 NEtwork Blue - EPO
  • HeartlandBlue Silver Standard 6000 NEtwork Blue PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAQUELINE M. KREBER

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(712) 252-9301

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)161502
Ownership TypeNon-Profit
Medicare Certification Date05-05-1984
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
104.0
Average Daily Census
Number of patients cared for by a hospice on average each day
39.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
1
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
9
Care Provided in Home
Percentage of days patients received care in home
32
Care Provided in Home
Percentage of days patients received care in home
33
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
63
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
57
Care Provided in All other locations
Percentage of days patients received care in other locations
2
Care Provided in All other locations
Percentage of days patients received care in other locations
3
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100.0
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100.0
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
98.5
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
100.0
Hospice and Palliative Care Pain Screening
Facility observed rate
100.0
Hospice and Palliative Care Pain Screening
Facility observed rate
100.0
Hospice and Palliative Care Pain Assessment
Facility observed rate
96.7
Hospice and Palliative Care Pain Assessment
Facility observed rate
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
99.7
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
100.0
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
89.6
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
96.1
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Hospice and Palliative Care Composite Process Measure
Facility observed rate
92.9
Hospice and Palliative Care Composite Process Measure
Facility observed rate
94.6
Hospice Visits in the Last Days of Life
144
Hospice Visits in the Last Days of Life
455
Hospice Visits in the Last Days of Life
Facility observed rate
47.5
Hospice Visits in the Last Days of Life
Facility observed rate
46.5
Hospice Care Index Overall Score
Facility observed rate
9.0
Hospice Care Index Overall Score
Facility observed rate
10.0
CHC/GIP provided (% days)
46,499
CHC/GIP provided (% days)
11,888
CHC/GIP provided (% days)
Facility observed rate
0.2
CHC/GIP provided (% days)
Facility observed rate
0.2
CHC/GIP provided (% days)
73
CHC/GIP provided (% days)
73
Gaps in nursing visits (% elections)
85
Gaps in nursing visits (% elections)
292
Gaps in nursing visits (% elections)
Facility observed rate
64.4
Gaps in nursing visits (% elections)
Facility observed rate
70.6
Gaps in nursing visits (% elections)
74
Gaps in nursing visits (% elections)
64
Early live discharges (% live discharges)
66
Early live discharges (% live discharges)
28
Early live discharges (% live discharges)
Facility observed rate
9.1
Early live discharges (% live discharges)
Facility observed rate
17.9
Early live discharges (% live discharges)
96
Early live discharges (% live discharges)
72
Late live discharges (% live discharges)
66
Late live discharges (% live discharges)
28
Late live discharges (% live discharges)
Facility observed rate
39.3
Late live discharges (% live discharges)
Facility observed rate
28.8
Late live discharges (% live discharges)
22
Late live discharges (% live discharges)
50
Burdensome transitions, Type 1(% live discharges)
28
Burdensome transitions, Type 1(% live discharges)
66
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
3.0
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
7.1
Burdensome transitions, Type 1 (% live discharges)
53
Burdensome transitions, Type 1 (% live discharges)
29
Burdensome transitions, Type 2(% live discharges)
66
Burdensome transitions, Type 2(% live discharges)
28
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
3.6
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
1.5
Burdensome transitions, Type 2 (% live discharges)
55
Burdensome transitions, Type 2 (% live discharges)
80
Per-beneficiary spending (U.S. dollars $)
204
Per-beneficiary spending (U.S. dollars $)
665
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
11,369
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
9,631
Per-beneficiary spending (U.S. dollars $)
12
Per-beneficiary spending (U.S. dollars $)
19
Nurse care minutes per routine home care days (minutes)
46,396
Nurse care minutes per routine home care days (minutes)
11,866
Nurse care minutes per routine home care days (minutes)
Facility observed rate
11.0
Nurse care minutes per routine home care days (minutes)
Facility observed rate
10.7
Nurse care minutes per routine home care days (minutes)
32
Nurse care minutes per routine home care days (minutes)
35
Skilled nursing minutes on weekends (% minutes)
130,800
Skilled nursing minutes on weekends (% minutes)
495,615
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
6.2
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
10.2
Skilled nursing minutes on weekends (% minutes)
71
Skilled nursing minutes on weekends (% minutes)
29
Visits near death (% decedents)
542
Visits near death (% decedents)
166
Visits near death (% decedents)
Facility observed rate
89.8
Visits near death (% decedents)
Facility observed rate
87.8
Visits near death (% decedents)
27
Visits near death (% decedents)
33
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
27
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
27
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
12
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
7
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
19
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
23
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
4
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
7
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
9
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
7
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
14
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
28D2028270
Facility Type
Hospice
Certificate Effective Date
August 11, 2024
Certificate Expiration Date
August 10, 2026
Laboratory Director
JENNIFER BRUNING
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hospice Of Siouxland to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477856011, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 6 + 5 + 1 + 2 + 0 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1477856011.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Hospice Care, Community Based
3220 PLAZA DR STE D
SOUTH SIOUX CITY, NE 68776

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477856011, enumerated as an "organization" on December 20, 2010.

The provider is located at 3220 PLAZA DR STE D SOUTH SIOUX CITY, NE 68776 and the phone number is (402) 404-8323.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.