ProMedica Hospice (Cedar Rapids) – Community Based Hospice Care Agency, NPI 1215980891
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ProMedica Hospice (Cedar Rapids)
2525 24th St Ste 104
Rock Island, IL 612015395
Phone: (309) 757-7152
Type: Location
1540 Midland Ct NE
Cedar Rapids, IA 524021922
Phone: (563) 359-3654
Type: Location
333, North Summit Street, Downtown, Toledo, Lucas County, Ohio, 43604, United States
ATTN: DEAN SHIPMAN
TOLEDO, OH 436042615
Phone: (419) 254-7841
Fax: (419) 252-6448
Type: Mailing
4340, East 53rd Street, Davenport, Scott County, Iowa, 52807, United States
DAVENPORT, IA 528073039
Phone: (563) 359-3540
Fax: (563) 359-9092
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-02-28 (100 days ago).
Enrollment records
1
Earliest due date
2026-02-28
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20200616002245 | O | Clinic/Group Practice | IA | 2026-02-28 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61201)
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