NPIMap

Organization Active NPI

Saint Francis Medical Center

Doing business as Saint Francis Hospice

  • Community Based Hospice Care Agency
  • Cape Girardeau, MO
National Provider Identifier
1053723478
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SAINT FRANCIS MEDICAL CENTER
Doing business as
Saint Francis Hospice
Practice address
150 S Mount Auburn Rd Ste 344
Cape Girardeau, MO 63703-4917
Phone
(573) 331-3177
Fax
(573) 331-3178
NPI assigned
May 21, 2014
Last updated
Jul 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Kimberly D Gilliland
Title
Credentialing
Phone
(573) 331-5583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X MO Primary

Addresses

Primary practice location

150 S Mount Auburn Rd Ste 344
Cape Girardeau, MO 63703-4917

Mailing address

PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-5583

Other names 1

  • Saint Francis Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140930003060 MO Part A Provider - Hospice 9931007929 Practice locations: Cape Girardeau, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053723478. Details of each certification follow.

Hospice certification: CCN 261657

Legal name
SAINT FRANCIS MEDICAL CENTER
Doing business as
SAINT FRANCIS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 1, 2014
Last certification
Aug 26, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Enrollment address
150 S Mount Auburn Rd
Ste 344
Cape Girardeau, MO 63703-4917

Other NPIs with the same Medicare PAC ID 17

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

View all 17

Care Compare: Hospice

Medicare Care Compare
Listed as
Saint Francis HospiceCCN 261657 · All quality measures
Ownership
Other
Certified
Dec 1, 2014
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
St Francis Medical Cent24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Laura L Younghouse Individual Corporate DirectorBoard Member Jun 28, 2021
Gina Raffety Individual Corporate DirectorBoard Member Jun 28, 2021
Adam Kidd Individual Corporate DirectorBoard Member Jun 28, 2021
Mike Himmelberg Individual Corporate DirectorBoard Member Aug 1, 2021
Justin Davison Individual Corporate OfficerCfo, Ceo Jun 28, 2021
Corporate DirectorCfo, Ceo Feb 15, 2022
W-2 Managing EmployeeCfo, Ceo Jun 28, 2021
Kathy Swan Individual Corporate DirectorBoard Member Sep 1, 2021
Janet Varnon Individual Corporate DirectorBoard Member Jun 28, 2021
Kevin Govero Individual Corporate DirectorChair of the Board Jun 28, 2021
Kimberly Gilliland Individual W-2 Managing EmployeeCredentialing Coordinator Jun 28, 2021
Dennis Vollink Individual Corporate DirectorSecretary/Treasurer Jun 28, 2021
James H Bollinger Individual Corporate DirectorBoard Member Jun 28, 2021
Joyce M Reed Individual W-2 Managing EmployeeMD; Apr 3, 2024
Joseph McLane Individual Corporate DirectorBoard Member Jun 28, 2021
Saint Francis Medical Center Organization, Cape Girardeau, MO Non-profit Operational/Managerial Control Jul 1, 2014
Steven Dirnberger Individual Corporate DirectorVice Chair Jun 28, 2021

Owners & managing parties with NPI records 19

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 19

All facility ownership & control disclosures 9

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

FacilityTypeRoleSince
Saint Francis Medical CenterCape Girardeau, MO, CCN 260183 Hospital Operational/Managerial Control Oct 2, 2007
St Francis Medical CenterCape Girardeau, MO, CCN 26T183 Hospital Operational/Managerial Control Oct 2, 2007
Saint Francis Clinic DexterDexter, MO, CCN 793839 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Saint Francis Clinic Cape Girardeau KingshighwayCape Girardeau, MO, CCN 263897 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2014
Saint Francis Clinic Poplar BluffPoplar Bluff, MO, CCN 263968 Rural health clinic 5% Or Greater Direct Ownership Interest Jan 1, 2014
Saint Francis Clinic PiedmontPiedmont, MO, CCN 263933 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Saint Francis Clinic JacksonJackson, MO, CCN 263914 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2014
Saint Francis Clinic CharlestonCharleston, MO, CCN 263830 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Saint Francis Clinic FarmingtonFarmington, MO, CCN 793859 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 16, 2021

Owned or controlled facilities with NPI records 10

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

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1053723478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801143",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801143",
            "telephone_number": "573-331-5583",
            "fax_number": "573-331-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MOUNT AUBURN RD STE 344",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034917",
            "telephone_number": "573-331-3177",
            "fax_number": "573-331-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT FRANCIS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "GILLILAND",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "573-331-5583"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Francis Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saint Francis Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.