NPIMap

Organization Active NPI

Kansas City Hospice, Inc

  • Inpatient Hospice
  • Kansas City, MO
National Provider Identifier
1013093145
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
064-20HO Issued in MO
Legal business name
KANSAS CITY HOSPICE, INC
Practice address
12000 Wornall Rd
Kansas City, MO 64145-1117
Phone
(816) 941-1000
Fax
(816) 941-1500
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Mr. David Wiley
Title
Chief Executive Officer
Phone
(816) 363-2600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 064-20HO MO
Inpatient Hospice 315D00000X 064-20HO MO Primary

Addresses

Primary practice location

12000 Wornall Rd
Kansas City, MO 64145-1117

Mailing address

9001 State Line Rd Ste 300
Kansas City, MO 64114-3212
Phone (816) 363-2600

Other names 1

  • Kansas City Hospice and Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030604000025 MO Part A Provider - Hospice 3971413295 Practice locations: Kansas City, MO; North Kansas City, MO
O20040308000923 MO Part B Supplier - Clinic/Group Practice 3971413295 Receives reassigned benefits from 19 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kansas City, MO; Sikeston, MO; Riverside, MO; Raymore, MO; Liberty, MO; Belton, MO; Gladstone, MO; Independence, MO

Hospice certification: CCN 261503

Legal name
KANSAS CITY HOSPICE INC
Doing business as
KANSAS CITY HOSPICE AND PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 10, 1984
Last certification
Mar 29, 2018
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Aug 15, 1980 in MO
Enrollment address
9001 State Line Rd
Ste 300
Kansas City, MO 64114-3212

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Kansas City Hospice and Palliative CareCCN 261503
Ownership
Non-Profit
Certified
Dec 10, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Caryn Hohnholt Individual Corporate OfficerVice President of Development Apr 26, 2018
W-2 Managing EmployeeVice President of Development Apr 26, 2018
Megan Costello Individual Corporate DirectorBoard Member Oct 15, 2018
Paul Weddle Individual Corporate OfficerChief Operating Officer Apr 1, 2017
W-2 Managing EmployeeChief Operating Officer Mar 6, 2017
Melanie Coleman Individual Corporate DirectorBoard Member Jun 25, 2020
Patricia Beatty Individual Corporate DirectorBoard Member Apr 27, 2023
David S Wiley Individual Corporate OfficerBoard Member, President & Ceo Sep 6, 2016
W-2 Managing EmployeeBoard Member, President & Ceo Sep 6, 2016
Maxine Sandman Individual Corporate DirectorBoard Member Apr 25, 2024
Jennifer a Kozinn Individual Corporate DirectorBoard Member Nov 29, 2018
Candice Coffey Individual Corporate DirectorBoard Member Apr 27, 2023
Edward R Mardiat Individual Corporate DirectorBoard Member Apr 25, 2019
Penny Avery Individual W-2 Managing EmployeeRevenue Cycle Manager Jun 25, 2018
Claudia Ricks Hubbard Individual Corporate DirectorBoard Member Apr 24, 2025
Timothy McLane Individual Corporate OfficerChief Financial Officer Sep 1, 2017
W-2 Managing EmployeeChief Financial Officer Aug 22, 2017
Sheilahn E Davis-Wyatt Individual Corporate DirectorBoard Member Dec 16, 2021
Shanna K Steitz Individual Corporate DirectorBoard Member Apr 25, 2019
Kenna K Belshe Individual Corporate DirectorBoard Member Apr 24, 2025
Jody a Abbott Individual Corporate DirectorBoard Member Jun 25, 2015
Pamela S Harris Individual Corporate DirectorMedical Director Jun 12, 2006
Heather Murphy Individual W-2 Managing EmployeeDirector Qa & Regulatory Compliance Oct 1, 2020
Anne S O'Brien Individual Corporate DirectorBoard Member Apr 26, 2018
Michael L Schumacher Individual Corporate DirectorBoard Member Sep 26, 2019

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas City Palliative Home CareKansas City, MO, CCN 267264 Home health agency Operational/Managerial Control Aug 15, 1980

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Change-of-ownership history 1

DateEventCounterparty
Feb 1, 2017 Acquisition/MergerThis provider was the buyer Northcare Hospice HouseCCN 261569, MO, NPI 1962497792

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 19

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1013093145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143212",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451117",
            "telephone_number": "816-941-1000",
            "fax_number": "816-941-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "816-363-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "064-20HO",
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "MO",
            "license": "064-20HO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kansas City Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kansas City Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.