NPIMap

Organization Active NPI

St Bernards Hospital Inc

Doing business as St Bernards Home Health

  • Home Health Agency
  • Jonesboro, AR
National Provider Identifier
1023048659
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR3324 Issued in AR
Legal business name
ST BERNARDS HOSPITAL INC
Doing business as
St Bernards Home Health
Practice address
1726 Marie Cir
Jonesboro, AR 72401-5355
Phone
(870) 972-8816
Fax
(870) 972-9681
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ST BERNARDS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Chris Barber
Title
Ceo
Phone
(870) 972-4429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR3324 AR Primary

Addresses

Primary practice location

1726 Marie Cir
Jonesboro, AR 72401-5355

Mailing address

225 E Washington Ave
Jonesboro, AR 72401-3111
Phone (870) 207-4100

Other names 1

  • St Bernards Home Health Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address St.Bernards@stb.hin.us
Direct Messaging Address St.Bernards@stb.hin.us

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050429000294 AR Part A Provider - Home Health Agency 0941105480 Practice locations: Jonesboro, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023048659. Details of each certification follow.

Home health agency certification: CCN 047033

Legal name
ST BERNARDS HOSPITAL INC.
Doing business as
ST. BERNARDS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 27, 1982
Last certification
Apr 23, 2021
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Enrollment address
1726 Marie Circle
St. Bernards Home Health
Jonesboro, AR 72401-5355
HHA Branch

Other NPIs with the same Medicare PAC ID 9

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
St Bernards Home CareCCN 047033 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 27, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Mark M Smith MD14 organizations share this tax ID, including this one
Part of
Mark M Smith MD

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Benjamin Barylske Individual Corporate DirectorChief Financial Officer Oct 2, 2018
Chris Barber Individual Corporate Director Apr 29, 2005
Kevin Hodges Individual Corporate Director Apr 29, 2005
W-2 Managing Employee Apr 29, 2005

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of JonesboroJonesboro, AR, CCN 043029 Hospital 5% Or Greater Direct Ownership Interest (50%) Feb 1, 2013

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 53

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

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1023048659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013111",
            "telephone_number": "870-207-4100",
            "fax_number": "870-974-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 MARIE CIR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015355",
            "telephone_number": "870-972-8816",
            "fax_number": "870-972-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BERNARDS HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST BERNARDS MEDICAL CENTER",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-972-4429"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR3324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "St.Bernards@stb.hin.us",
            "affiliation": "N",
            "address_1": "1726 Marie Cir",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724015355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "St.Bernards@stb.hin.us",
            "affiliation": "N",
            "address_1": "1726 Marie Cir",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724015355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Bernards Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Bernards Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.