NPIMap

Organization Active NPI

Neosho Memorial Regional Medical Center

Doing business as NMRMC Home Health Agency

  • Home Health Agency
  • Chanute, KS
National Provider Identifier
1174639504
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A-067-001 Issued in KS
Legal business name
NEOSHO MEMORIAL REGIONAL MEDICAL CENTER
Doing business as
NMRMC Home Health Agency
Practice address
1709 W 7TH St
Chanute, KS 66720-2505
Phone
(620) 432-5436
Fax
(620) 432-5501
NPI assigned
Aug 21, 2006
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NEOSHO MEMORIAL REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Lauren K Tinsley
Title
Cfo
Phone
(620) 431-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A-067-001 KS Primary

Addresses

Primary practice location

1709 W 7TH St
Chanute, KS 66720-2505

Mailing address

629 S Plummer Ave
P. O. Box 426
Chanute, KS 66720-1928
Phone (620) 432-5436

Other identifiers 3

IdentifierTypeStateIssuer
100009390AMedicaidKS
100004340FMedicaidKS
244OtherKSBCBS HOME HEALTH

Other names 1

  • NMRMC Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050803000770 KS Part A Provider - Home Health Agency 9133022882 Practice locations: Chanute, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174639504. Details of each certification follow.

Home health agency certification: CCN 177060

Legal name
NEOSHO MEMORIAL REGIONAL MEDICAL CENTER
Doing business as
NMRMC HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 1, 1978
Last certification
Jan 10, 2019
Ownership / control type
Government Operated
Organization structure
OtherNon-profit
Enrollment address
1709 W 7TH St
Chanute, KS 66720-2505
HHA Branch

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nmrmc Home Health AgencyCCN 177060 · All quality measures
Overall star rating
3 of 5
Ownership
Government Operated
Certified
May 1, 1978
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
Neosho Memorial Reg Med15 organizations share this tax ID, including this one
Part of
Neosho Memorial Reg Med

Other organizations with this tax ID 14

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

View all 14

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Neosho County

    dba Neosho County Health Department

    • Registered Nurse
    • Chanute, KS
    • NPI 1841372414

    Member Of

    NPD member

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Philip a Jarred Individual Corporate DirectorTrustee May 1, 2017
Wendy Brazil Individual Corporate OfficerCoo Jan 1, 2021
Operational/Managerial ControlCoo Jan 1, 2021
Bruce a Mullen Individual Corporate Director Dec 28, 2005
Bruce Jackson Individual Corporate Director Aug 16, 2006
Katie Tinsley Individual Corporate OfficerCfo Jan 1, 2021
Operational/Managerial ControlCfo Jan 1, 2021
Dennis Franks Individual Contracted Managing EmployeeCeo Apr 1, 2006
David M Robinson Individual Corporate Director Dec 28, 2005
Alison Mih Individual Operational/Managerial ControlBoard Member Mar 30, 2021
Neosho County Organization, Erie, KS 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Garrett Sharp Individual Operational/Managerial ControlBoard Member Mar 30, 2021
Larry Nelson Individual Corporate DirectorDirector Nov 2, 2012

Owners & managing parties with NPI records 1

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

  • Neosho County

    dba Neosho County Health Department

    • Registered Nurse
    • Chanute, KS
    • NPI 1841372414

    5% Or Greater Direct Ownership Interest

    CMS ownership

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Nmrmc Erie Family Care ClinicErie, KS, CCN 178584 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1174639504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "address_2": "P. O. BOX 426",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928",
            "telephone_number": "620-432-5436",
            "fax_number": "620-432-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 W 7TH ST",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667202505",
            "telephone_number": "620-432-5436",
            "fax_number": "620-432-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOSHO MEMORIAL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEOSHO MEMORIAL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-431-4000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A-067-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100009390A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004340F",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HOME HEALTH",
            "identifier": "244",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NMRMC Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NMRMC Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chanute, KS

Sources for this page

Verify at the official NPI Registry.