Organization Active NPI

Horizon Health Care Inc

Doing business as Howard Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Howard, SD
National Provider Identifier
1114033164
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HORIZON HEALTH CARE INC
Doing business as
Howard Community Health Center
Practice address
208 South Main
Howard, SD 57349-4128
Phone
(605) 772-4574
NPI assigned
Aug 22, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
John Mengenhausen
Title
Ceo
Phone
(605) 772-4518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

208 South Main
Howard, SD 57349-4128

Mailing address

PO Box 99
Howard, SD 57349-0099
Phone (605) 772-4574

Other identifiers 1

IdentifierTypeStateIssuer
5350020MedicaidSD

Other names 1

  • Howard Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040315000974 SD Part B Supplier - Clinic/Group Practice 8921997933 Receives reassigned benefits from 96 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alcester, SD; Aberdeen, SD; Yankton, SD; Woonsocket, SD; White River, SD; Wessington Springs, SD; Ridgeview, SD; Plankinton, SD…
O20081008000214 SD Part A Provider - Federally Qualified Health Center (FQHC) 8921997933 Practice locations: Howard, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114033164. Details of each certification follow.

Federally qualified health center certification: CCN 431809

Legal name
HORIZON HEALTH CARE INC
Doing business as
HOWARD COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1992
Last certification
Oct 1, 1992
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1977 in SD
Enrollment address
208 S Main St
Howard, SD 57349-8813

Other NPIs with the same Medicare PAC ID 18

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

View all 18

Other NPIs on the same Medicare enrollment 22

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

View all 22

National Provider Directory

National Provider Directory

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
Jessica Lindskov Individual Corporate DirectorBoard Member Jan 1, 2016
Samantha Plank Individual Corporate DirectorBoard Member Nov 14, 2011
Steve Heisel Individual Corporate DirectorBoard Member Dec 1, 2022
Dennis Nelsen Individual Corporate DirectorBoard Member Jun 1, 2017
Echo Petersen Individual Corporate DirectorBoard Member Nov 14, 2011
Rhea Lecompte Individual Corporate DirectorBoard Member Dec 1, 2022
Rosemary K Jensen Individual W-2 Managing EmployeeBilling Supervisor May 11, 2011
Wade Erickson Individual Corporate OfficerCeo Jul 1, 2021
Tristan L Gruenhagen Individual Corporate DirectorBoard Member Jun 20, 2008
Brenda Schneider Individual Corporate DirectorBoard Member Jan 1, 2016
Sandra Sexton-Welling Individual Corporate DirectorBoard Member Jan 1, 2021
David W Schmidt Individual Corporate DirectorBoard Member Jun 20, 2008
Ryan Jensen Individual Corporate DirectorBoard Member Jan 1, 2020
Melissa Hofer Individual Corporate OfficerCfo Jul 1, 2021
Jerry a Miller Individual Corporate DirectorBoard Member Jun 1, 2017

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Weskota Manor IncWessington Springs, SD, CCN 435133 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2024
Apr 22, 2026
Faith Community Health CenterFaith, SD, CCN 431813 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 2016
Jan 1, 2016
Isabel Community ClinicIsabel, SD, CCN 431803 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 2016
Jan 1, 2016
Family Health Center of Eagle ButteEagle Butte, SD, CCN 431802 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 2016
Jan 1, 2016
Bison ClinicBison, SD, CCN 431827 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 2016
Jan 1, 2016
Tiospaye Topa SchoolLa Plant, SD, CCN 431848 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 2016
Jan 1, 2016

Owned or controlled facilities with NPI records 6

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1114033164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "HOWARD",
            "state": "SD",
            "postal_code": "573490099",
            "telephone_number": "605-772-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SOUTH MAIN",
            "city": "HOWARD",
            "state": "SD",
            "postal_code": "573494128",
            "telephone_number": "605-772-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MENGENHAUSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-772-4518"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5350020",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Howard, SD

Sources for this page

Verify at the official NPI Registry.