NPIMap

Organization Active NPI

Boone County Health Center

Doing business as Boone County Health Center Home Health

  • Home Health Agency
  • Albion, NE
National Provider Identifier
1114952363
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
031001 Issued in NE
Legal business name
BOONE COUNTY HEALTH CENTER
Doing business as
Boone County Health Center Home Health
Practice address
632 W Fairview St
Room 4
Albion, NE 68620-1724
Phone
(402) 395-2191
Fax
(402) 395-5165
NPI assigned
Jul 12, 2006
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BOONE COUNTY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Caleb K Poore
Title
Ceo
Phone
(402) 395-3213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 031001 NE Primary

Addresses

Primary practice location

632 W Fairview St
Room 4
Albion, NE 68620-1724

Mailing address

PO Box 151
Albion, NE 68620-0151
Phone (402) 395-3213

Other identifiers 2

IdentifierTypeStateIssuer
F313OtherNEMIDLANDS CHOICE
00157OtherNEBCBS OF NEBRASKA

Other names 1

  • Boone County Health Center Home Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BCHCHOSPITAL@boonecohealth.cernerdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040908000864 NE Part A Provider - Home Health Agency 1254306178 Practice locations: Albion, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114952363. Details of each certification follow.

Home health agency certification: CCN 287056

Legal name
BOONE COUNTY HEALTH CENTER
Doing business as
BOONE COUNTY HEALTH CENTER HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 19, 1989
Last certification
Jul 30, 2019
Ownership / control type
Government Operated
Organization structure
OtherNon-profit
Enrollment address
632 W Fairview St
RM 4
Albion, NE 68620-1724

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Boone County Health Center Home HealthCCN 287056 · All quality measures
Overall star rating
3 of 5
Ownership
Government Operated
Certified
Oct 19, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Laboratory Services11 organizations share this tax ID, including this one
Part of
Laboratory Services

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Tony Kurtenbach Individual Corporate Director Jul 1, 2019
Dana J Cox Individual Corporate Officer Aug 2, 2024
Corporate Director Jul 1, 2024
Caleb Poore Individual Corporate OfficerCeo Oct 16, 2023
W-2 Managing EmployeeCeo Oct 16, 2023
Operational/Managerial ControlCeo Oct 16, 2023
Kim Beierman Individual Corporate Officer Oct 26, 2021
Corporate Director Jul 1, 2015
Paul Groeteke Individual Corporate Officer Oct 25, 2016
Corporate Director Jul 1, 2015
Gary Stokes Individual Corporate Director Jul 1, 2025
Cindy J Lesiak Individual W-2 Managing EmployeeVP Patient Services Aug 1, 2002
Operational/Managerial ControlVP Patient Services Aug 1, 2002
Keri a Carraher Individual W-2 Managing EmployeeAd;Home Health Manager Oct 23, 2017
Operational/Managerial ControlHome Health Manager Oct 23, 2017
Rita a Liss Individual W-2 Managing EmployeeCfo Jul 1, 2017
Operational/Managerial ControlCfo Jul 1, 2017

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1114952363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686200151",
            "telephone_number": "402-395-3213",
            "fax_number": "402-395-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W FAIRVIEW ST",
            "address_2": "ROOM 4",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686201724",
            "telephone_number": "402-395-2191",
            "fax_number": "402-395-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE COUNTY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOONE COUNTY HEALTH CENTER",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "POORE",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-395-3213"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NE",
            "license": "031001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F313",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "00157",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BCHCHOSPITAL@boonecohealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "723 W Fairview St",
            "city": "Albion",
            "state": "NE",
            "country_code": "US",
            "postal_code": "686201725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Boone County Health Center Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boone County Health Center Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albion, NE

Sources for this page

Verify at the official NPI Registry.