NPIMap

Organization Active NPI

Hospital District No 1 Marion Co

Doing business as Marion County Home Care Services

  • Home Health Agency
  • Marion, KS
National Provider Identifier
1003862616
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A-057-002 Issued in KS
Legal business name
HOSPITAL DISTRICT NO 1 MARION CO
Doing business as
Marion County Home Care Services
Practice address
535 S Freeborn St
Marion, KS 66861-1256
Phone
(620) 382-2177
Fax
(620) 382-9104
NPI assigned
May 25, 2006
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Alex Haines
Title
Cheif Executive Officer
Phone
(620) 382-2177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A-057-002 KS Primary

Addresses

Primary practice location

535 S Freeborn St
Marion, KS 66861-1256

Mailing address

535 S Freeborn St
Marion, KS 66861-1256
Phone (620) 382-2177

Other identifiers 1

IdentifierTypeStateIssuer
1003-30020BMedicaidKS

Other names 1

  • Marion County Home Care Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041206000763 KS Part A Provider - Home Health Agency 7517923196 Practice locations: Marion, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003862616. Details of each certification follow.

Home health agency certification: CCN 177079

Legal name
HOSPITAL DISTRICT NO 1 MARION CO
Doing business as
MARION COUNTY HOME CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 1, 1979
Last certification
Apr 29, 2021
Ownership / control type
Non-Profit
Organization structure
OtherNon-profit
Enrollment address
535 S Freeborn St
Marion, KS 66861-1256

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Marion County Home Care ServicesCCN 177079 · All quality measures
Overall star rating
4.5 of 5
Ownership
Non-Profit
Certified
Nov 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Hospital District No 1 Marion Co6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Peni Ens Individual W-2 Managing EmployeeHome Health Manager May 31, 2016
Ryan Edmundson Individual Corporate OfficerTreasurer Jun 24, 2025
Travis L Parmley Individual Corporate OfficerMember Jun 24, 2025
Roger Hannaford Individual Corporate Director Jun 27, 2023
Alex Haines Individual W-2 Managing EmployeeCeo Aug 30, 2023
Bev Reid Individual W-2 Managing EmployeeCfo Sep 30, 2015
Kathy Brenzikofer Individual Corporate Director Oct 30, 2023
Daniel Holub Individual Corporate DirectorSecretary Jun 23, 2023
Chris Mercer Individual Corporate DirectorVice Chairman Jun 22, 2021
Linda K Carlson Individual Corporate DirectorChairman Jun 29, 2011

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1003862616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S FREEBORN ST",
            "city": "MARION",
            "state": "KS",
            "postal_code": "668611256",
            "telephone_number": "620-382-2177",
            "fax_number": "620-382-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S FREEBORN ST",
            "city": "MARION",
            "state": "KS",
            "postal_code": "668611256",
            "telephone_number": "620-382-2177",
            "fax_number": "620-382-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DISTRICT NO 1 MARION CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "620-382-2177"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A-057-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003-30020B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion County Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, KS

Sources for this page

Verify at the official NPI Registry.