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Organization Active NPI

Community Hospices of America, LLC

Doing business as Hospice Compassus - South Central Missouri

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Mountain Grove, MO
National Provider Identifier
1023624558
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
COMMUNITY HOSPICES OF AMERICA, LLC
Doing business as
Hospice Compassus - South Central Missouri
Practice address
1602C N Main St
Mountain Grove, MO 65711-1010
Phone
(417) 926-4146
Fax
(417) 926-6123
NPI assigned
Sep 21, 2020
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
John Cullen
Title
Chief Financial Officer
Phone
(800) 558-8644

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 1

  • Hospice Compassus - South Central Missouri Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Community Hospices Amer LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations (25 of 38)

2205 E Empire St
Ste A
Bloomington, IL 61704
Phone (309) 661-0504

1640 N Henderson St
Galesburg, IL 61401
Phone (309) 342-3007

256 S Soangetaha Rd
Ste 103
Galesburg, IL 61401
Phone (309) 342-3007

3910 38th Ave
Moline, IL 61265
Phone (309) 757-4760

4101 John Deere Rd
Ste 1
Moline, IL 61265
Phone (309) 757-4760

2000 W Pioneer Pkwy
Ste 24
Peoria, IL 61615
Phone (309) 691-0280

7210 N Villa Lake Dr
Ste B
Peoria, IL 61614
Phone (309) 691-0280

7820 N University St
Ste 103
Peoria, IL 61614
Phone (309) 691-0280

7820 N University St
Ste 108
Peoria, IL 61614
Phone (309) 691-0280

1756 Bee Creek Rd
#G
Branson, MO 65616
Phone (417) 335-2004

1756 Bee Creek Rd
Ste G
Branson, MO 65616
Phone (417) 335-2004

303 N Keene St
Ste 306
Columbia, MO 65201
Phone (573) 443-8360

3600 Interstate 70 Dr SE
Ste H
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

2216 E 32nd St
Ste 201
Joplin, MO 64804
Phone (417) 623-8272

3130 Wisconsin Ave
Ste 6
Joplin, MO 64804
Phone (417) 206-9300

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

1701A Prospect Dr
Macon, MO 63552
Phone (660) 385-4400

303 N Missouri St
Ste A
Macon, MO 63552
Phone (660) 385-4400

707 E Briggs Dr
#B
Macon, MO 63552
Phone (660) 385-4400

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Hospice Compassus JoplinJoplin, MO, CCN 261593 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 6, 2020

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

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1023624558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271001",
            "telephone_number": "800-558-8644",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602C N MAIN ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111010",
            "telephone_number": "417-926-4146",
            "fax_number": "417-926-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPICES OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "800-558-8644"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Compassus - South Central Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Grove, MO

Sources for this page

Verify at the official NPI Registry.