SSM Health Businesses

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SSM HEALTH BUSINESSES

Doing business as

SSM Hospice at Audrain

Practice address

605 E Promenade St
Mexico, MO 65265-2926

Phone

(573) 582-8850

Fax

(573) 582-8851

NPI assigned

Jul 14, 2014

Organization subpart

No

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

Authorized official

Name

Alison Ruehl, RN, MBA

Title

President

Phone

(314) 989-2508

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SSM Hospice at Audrain Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• LHCG Cxlviii, LLC

  • Community Based Hospice Care Agency
  • Jefferson City, MO
  • NPI 1558924829

  Sold to, 2019-08-01

  CMS change of ownership

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1013324854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10143 PAGET DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322915",
            "telephone_number": "314-989-2500",
            "fax_number": "314-989-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E PROMENADE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652926",
            "telephone_number": "573-582-8850",
            "fax_number": "573-582-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH BUSINESSES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "RUEHL",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-989-2508",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820328102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Hospice at Audrain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SSM Audrain Health Care, Inc
• SSM Audrain Health Care, Inc.
• SSM Audrain Health Care, Inc.
• SSM Audrain Health Care, Inc.
• SSM Audrain Health Care, Inc.
• SSM Health Businesses
• Kelly Rae Staddie, LCSW
• Kimberly L. Stanley
• Edward G. Stephens, D.D.S.
• Madison Breanne Sturrock, LMSW

• Community Based Hospice Care Agency in Mexico, MO
• Providers in Mexico, MO by specialty
• Community Based Hospice Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.