Healthcare Provider Details

I. General information

NPI: 1811830755
Provider Name (Legal Business Name): SACRED ENCOUNTER HOSPICE NW IOWA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 4TH ST STE 210
SIOUX CITY IA
51101-1717
US

IV. Provider business mailing address

1055 JORDAN CREEK PKWY STE 218
WEST DES MOINES IA
50266-5821
US

V. Phone/Fax

Practice location:
  • Phone: 515-644-0020
  • Fax:
Mailing address:
  • Phone: 515-644-0020
  • Fax: 515-644-0021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: RICHARD W BREUSS III
Title or Position: CEO
Credential:
Phone: 515-644-0020