Jefferson County Patient Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

263-18 Issued in MO

Legal business name

JEFFERSON COUNTY PATIENT CARE SERVICES

Doing business as

Patient Care Services

Practice address

10679 Highway 21
Hillsboro, MO 63050-5094

Phone

(636) 797-4913

Fax

(636) 797-5876

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Laura D Jackson, RN, MPH

Title

President/Ceo

Phone

(636) 797-4913

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Patient Care Services Doing business as

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053380717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10679 HIGHWAY 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505094",
            "telephone_number": "636-797-4913",
            "fax_number": "636-797-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10679 HIGHWAY 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505094",
            "telephone_number": "636-797-4913",
            "fax_number": "636-797-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY PATIENT CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "636-797-4913",
        "authorized_official_credential": "RN, MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "263-18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "105406",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHCMCC",
            "identifier": "6000023",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NON-ALLIANCE",
            "identifier": "105406",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "105406",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ALLIANCE",
            "identifier": "105406",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FEDERAL",
            "identifier": "105406",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Horn
• Wilma Hueter
• William Connor Imboden, MAT, ATC, LAT
• Robert Janis
• Jefferson County Health Department
• Jefferson Franklin Community Action Corp
• Kristena Ann Johnson, LMSW
• Angela M Johnston
• Kiersten Kathleen Jones
• Kristy Kaltenbronn, RDH

• Home Health Agency in Hillsboro, MO
• Providers in Hillsboro, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.