NPIMap

Organization Active NPI

Morrill County Community Hospital

Doing business as Morrill County Community Hospital Home Health Agency

  • Home Health Agency
  • Bridgeport, NE
National Provider Identifier
1053397547
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
541001 Issued in NE
Legal business name
MORRILL COUNTY COMMUNITY HOSPITAL
Doing business as
Morrill County Community Hospital Home Health Agency
Practice address
925 Main St
Bridgeport, NE 69336-4032
Phone
(308) 262-7164
NPI assigned
Dec 16, 2005
Last updated
May 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MORRILL COUNTY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Ms. Robin L. Stuart
Title
Ceo
Phone
(308) 262-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 541001 NE Primary

Addresses

Primary practice location

925 Main St
Bridgeport, NE 69336-4032

Mailing address

1313 S St
Bridgeport, NE 69336-2563
Phone (308) 262-1616

Other names 1

  • Morrill County Community Hospital Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070213000492 NE Part A Provider - Home Health Agency 7719930437 Practice locations: Bridgeport, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053397547. Details of each certification follow.

Home health agency certification: CCN 287061

Legal name
MORRILL COUNTY COMMUNITY HOSPITAL
Doing business as
MORRILL COUNTY COMMUNITY HOSPITAL HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 13, 1990
Last certification
Apr 8, 2021
Ownership / control type
Government Operated
Organization structure
OtherNon-profit
Enrollment address
925 Main St
Bridgeport, NE 69336-4032

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Morrill County Comm. Hosp. Home Health AgencyCCN 287061 · All quality measures
Overall star rating
2 of 5
Ownership
Government Operated
Certified
Sep 13, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2135613Morrill County Community Hospital925 Main Street, Bridgeport, NE 69336Certificate of waiverAug 23, 2027
28D2313229Morrill County Community Hospital - Professional925 Main Street, Bridgeport, NE 69336Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Chimney Rock Medical Ctr5 organizations share this tax ID, including this one
Part of
Chimney Rock Medical Ctr

Other organizations with this tax ID 4

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

Locations

1320 S St
Bridgeport, NE 69336
Phone (308) 262-1755

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Sumer Krier Individual W-2 Managing EmployeeCfo Jun 19, 2023
Operational/Managerial ControlCfo Jun 19, 2023
Roger Eirich Individual Corporate Director May 25, 2022
Travis Rodak Individual Corporate Officer Sep 30, 2020
Corporate Director Sep 30, 2020
Robin L Stuart Individual Corporate OfficerCeo Jun 30, 2013
W-2 Managing EmployeeCeo Jun 30, 2013
Operational/Managerial ControlCeo Jun 30, 2013
Kenneth D Sestak Individual Corporate Officer Jan 21, 2014
Corporate Director Nov 19, 2013
Frank J Lussetto Individual Corporate Officer Jan 21, 2014
Corporate Director Sep 29, 2010
Kevin G Hall Individual Corporate Director Jun 19, 2018
Mary a Moore Individual W-2 Managing EmployeeDirector of Home Health Dec 3, 2017
Operational/Managerial ControlDirector of Home Health Dec 3, 2017

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1053397547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S ST",
            "city": "BRIDGEPORT",
            "state": "NE",
            "postal_code": "693362563",
            "telephone_number": "308-262-1616",
            "fax_number": "308-262-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "NE",
            "postal_code": "693364032",
            "telephone_number": "308-262-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRILL COUNTY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORRILL COUNTY COMMUNITY HOSPITAL",
        "enumeration_date": "2005-12-16",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-262-1616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NE",
            "license": "541001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morrill County Community Hospital Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morrill County Community Hospital Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, NE

Sources for this page

Verify at the official NPI Registry.