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St Bernards Hospital Inc

Organization Active NPI Home Health Agency · Jonesboro, AR

NPI 1023048659 · NPPES record last updated Jul 8, 2020

Key facts

NPI
1023048659
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
AR3324 (AR)
Legal business name
ST BERNARDS HOSPITAL INC
Practice address
1726 Marie Cir
Jonesboro, AR 72401-5355
Phone
(870) 972-8816
Fax
(870) 972-9681
NPI assigned
Jul 3, 2006
Organization subpart
Yes
Parent organization (as reported)
ST BERNARDS MEDICAL CENTER

Authorized official

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

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 9

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

Corporate family (same tax ID) 13

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

Practitioners 187

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

View all 187

Affiliated clinicians 53

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

View all 53

Medicare Care Compare: Home health agency

Listed as
St Bernards Home Care CCN 047033
Overall star rating
★★★★☆ 3.5 of 5
Ownership
Proprietary
Certified
Jan 27, 1982
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

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
Corporation · Non-profit
Enrollment address
1726 Marie Circle
St. Bernards Home Health
Jonesboro, AR 72401-5355
HHA Branch

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 Director
Chief 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 Jonesboro
Jonesboro, AR · CCN 043029		 Hospital 5% Or Greater Direct Ownership Interest (50%) Feb 1, 2013

Medicare enrollment records

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

National Provider Directory

Tax ID family
St Bernards Hospital Inc (14 organizations share this tax ID)
Part of
St Bernards Hospital Inc

Locations

1726 Marie Cir
Jonesboro, AR 72401
Phone (870) 207-7400

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
101807514MedicaidAR
130811732MedicaidAR

Other names

  • St Bernards Home Health Doing business as

Electronic endpoints

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

Other providers in Jonesboro, AR

All providers in Jonesboro, AR · Home Health Agency in Arkansas

Sources for this page

Verify at the official NPI Registry.