Active NPI
Compassionate Care LLC
Doing business as Family Preference Health Care Clinic
- Rural Health Clinic/Center
- Matthews, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- COMPASSIONATE CARE LLC
- Doing business as
- Family Preference Health Care Clinic
- Practice address
- 201 West Main
Matthews, MO 63867 - Phone
- (573) 471-1514
- Fax
- (573) 471-1517
- NPI assigned
- Sep 8, 2005
- Last updated
- Sep 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn Y Chapman, FNP
- Title
- FNP Owner
- Phone
- (573) 471-1514
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
201 West Main
Matthews, MO 63867
Mailing address
PO Box 358
Matthews, MO 63867-0358
Phone (573) 471-1514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000014714 | Other | MO | MEDICARE PART B |
Other names 1
- Family Preference Health Care Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1144214974. Details of each certification follow.
Rural health clinic certification: CCN 268944
- Legal name
- COMPASSIONATE CARE LLC
- Doing business as
- FAMILY PREFERENCE HEALTHCARE CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Oct 14, 2005
- Last certification
- Oct 22, 2024
- Ownership / control type
- 1A
- Organization structure
- LLC
- Incorporated
- May 16, 2005 in MO
- Enrollment address
- 201 W Main
Matthews, MO 63867
National Provider Directory
National Provider Directory- Tax ID family
- Compassionate Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Matthews, MO
- NPI 1467627299
-
- Family Medicine Physician
- Matthews, MO
- NPI 1932642733
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Compassionate Care LLC | 5% Or Greater Direct Ownership Interest | May 16, 2005 | |
| Operational/Managerial Control | May 16, 2005 | ||
| Marilyn Y Chapman | 5% Or Greater Direct Ownership Interest | Aug 18, 2005 | |
| W-2 Managing Employee | Aug 18, 2005 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Matthews, MO
- NPI 1932193315
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
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.
-
- Family Nurse Practitioner
- Matthews, MO
- NPI 1932193315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189036800000",
"number": "1144214974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 358",
"city": "MATTHEWS",
"state": "MO",
"postal_code": "638670358",
"telephone_number": "573-471-1514",
"fax_number": "573-471-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 WEST MAIN",
"city": "MATTHEWS",
"state": "MO",
"postal_code": "63867",
"telephone_number": "573-471-1514",
"fax_number": "573-471-1517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSIONATE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-08",
"last_updated": "2007-09-06",
"status": "A",
"authorized_official_last_name": "CHAPMAN",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "FNP OWNER",
"authorized_official_telephone_number": "573-471-1514",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "000014714",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Preference Health Care Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Matthews, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.