Community Hospices of America, LLC
Organization Active NPI Hospice and Palliative Medicine (Family Medicine) Physician · Mountain Grove, MO
NPI 1023624558 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1023624558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X
- Legal business name
- COMMUNITY HOSPICES OF AMERICA, LLC
- Practice address
- 1602C N Main St
Mountain Grove, MO 65711-1010 - Phone
- (417) 926-4146
- Fax
- (417) 926-6123
- NPI assigned
- Sep 21, 2020
- Organization subpart
- No
Authorized official
- Name
- John Cullen
- Title
- Chief Financial Officer
- Phone
- (800) 558-8644
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 9
Practitioners 31
-
Daniel J Ferguson, FNP-C
-
Patricia Lynn Christian, APRN
-
Carla Clinton, FNP-C
-
Diana Kay Fauss, APRN, BC, FNP, GNP
-
Stephanie V Garcia, CNP
-
Pearl Ann Hunter, FNP
-
Abigail Nicole Koetting, MSN, APRN, FNP-BC
-
James W McDowell, MD
-
Crystal Dawn Phipps, FNP
-
Treesa Renee Riedel, MSN, APRN, FNP-C
-
Jana Lea Scott, NP-C
-
Karen Beth Hill, AGNP
-
Conley V White, APRN
-
Ronda D. Azelton, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospice Compassus Joplin |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jan 6, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150515002003 | MO | Part B Supplier - Clinic/Group Practice | 4385552660 |
Receives reassigned benefits from 21 practitioners 3 other NPIs on this enrollment Practice locations: Columbia, MO; Jefferson City, MO; Macon, MO; Mountain Grove, MO; Osage Beach, MO |
National Provider Directory
- Tax ID family
- Community Hospices LLC
Locations (25 of 37)
2205 E Empire St
Ste A
Bloomington, IL 61704
Phone (309) 661-0504
1640 N Henderson St
Galesburg, IL 61401
Phone (309) 342-3007
3910 38th Ave
Moline, IL 61265
Phone (309) 757-4760
7820 N University St
Ste 108
Peoria, IL 61614
Phone (309) 691-0280
2000 W Pioneer Pkwy
Ste 24
Peoria, IL 61615
Phone (309) 691-0280
7820 N University St
Ste 103
Peoria, IL 61614
Phone (309) 691-0280
200 E Centennial Dr
Ste 9
Pittsburg, KS 66762
Phone (620) 232-1005
1756 Bee Creek Rd
Ste G
Branson, MO 65616
Phone (417) 335-2004
1756 Bee Creek Rd
#G
Branson, MO 65616
Phone (417) 335-2004
3600 Interstate 70 Dr SE
Ste H
Columbia, MO 65201
Phone (573) 443-8360
3050 Interstate 70 Dr SE
#100
Columbia, MO 65201
Phone (573) 443-8360
2070 Village Ln
Hermann, MO 65041
Phone (573) 486-1034
2418 Hyde Park Rd
Jefferson City, MO 65109
Phone (573) 556-3547
600 Monroe St
Ste 100
Jefferson City, MO 65101
Phone (573) 556-3547
628 E High St
Jefferson Cty, MO 65101
Phone (573) 556-3547
814 W 12th St
Lamar, MO 64759
Phone (417) 682-3809
816A W 12th St
Lamar, MO 64759
Phone (417) 623-8272
266 S Jefferson Ave
Ste A
Lebanon, MO 65536
Phone (417) 532-0372
278 N Jefferson Ave
Lebanon, MO 65536
Phone (417) 532-0372
707 E Briggs Dr
#B
Macon, MO 63552
Phone (660) 385-4400
1701A Prospect Dr
Macon, MO 63552
Phone (660) 385-4400
303 N Missouri St
Ste A
Macon, MO 63552
Phone (660) 385-4400
845 E Highway 60
Ste A
Monett, MO 65708
Phone (417) 235-9097
101 E 2nd St
Mountain Grove, MO 65711
Phone (417) 926-4146
1602C N Main St
Mountain Grv, MO 65711
Phone (417) 926-4146
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician |
207QH0002X | Yes | ||
| Hospice and Palliative Medicine (Internal Medicine) Physician |
207RH0002X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
1602C N Main St
Mountain Grove, MO 65711-1010
Mailing address
10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (800) 558-8644
Other names
- Hospice Compassus - South Central Missouri
Other providers in Mountain Grove, MO
- Brock Coffman
- Cade Coffman
- Christine Michelle Coffman
- Kayla Nicole Collins
- Wendy Lynn Collins
- Community Hospices of America, LLC
- Country Living Care Homes LLC
- Jenna Cravens
- Crossroads Counseling Services
- Crossroads Counseling Services
All providers in Mountain Grove, MO · Hospice and Palliative Medicine (Family Medicine) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.