Organization Active NPI

Crown Hospice Inc

  • Community Based Hospice Care Agency
  • Cape Girardeau, MO
National Provider Identifier
1184739245
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CROWN HOSPICE INC
Practice address
2858 Professional CT
Cape Girardeau, MO 63703-5035
Phone
(573) 335-4800
Fax
(573) 335-4805
NPI assigned
Aug 20, 2006
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Timothy Winters
Title
President
Phone
(918) 492-6440

Specialties & licenses 1

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

Addresses

Primary practice location

2858 Professional CT
Cape Girardeau, MO 63703-5035

Mailing address

2858 Professional CT
Cape Girardeau, MO 63703-5035
Phone (573) 335-4800

Other identifiers 1

IdentifierTypeStateIssuer
826299406MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060828000402 MO Part A Provider - Hospice 1153325535 Practice locations: Cape Girardeau, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184739245. Details of each certification follow.

Hospice certification: CCN 261625

Legal name
CROWN HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 25, 2007
Last certification
Aug 12, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 7, 2006 in MO
Enrollment address
2858 Professional CT
Cape Girardeau, MO 63703-5035

Care Compare: Hospice

Medicare Care Compare
Listed as
Crown Hospice, IncCCN 261625 · All quality measures
Ownership
For-Profit
Certified
Jan 25, 2007
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2110159Crown Hospice2858 Professional Court, Cape Girardeau, MO 63703Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

Locations

2858 Professional Ct
Cpe Girardeau, MO 63703
Phone (573) 335-4800

102 S Interstate Dr
Ste 21
Sikeston, MO 63801
Phone (573) 471-0900

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Susan L. Winters Individual Corporate DirectorBoard Member Nov 1, 2012
Thomas J Winters Individual 5% Or Greater Direct Ownership Interest Aug 7, 2006 50%
Corporate OfficerSecretary/Treasurer Aug 7, 2006
Corporate DirectorSecretary/Treasurer Aug 31, 2006
Timothy J Winters Individual 5% Or Greater Direct Ownership Interest Aug 7, 2006 50%
Corporate OfficerPresident Aug 7, 2006
Corporate DirectorPresident Aug 31, 2006
Andrea Wade Individual W-2 Managing EmployeeDirector of Nursing Services Apr 14, 2025
Jessica Hendley Individual W-2 Managing EmployeeAd; Jun 12, 2024
William C Bryant Individual OtherMedical Director Aug 12, 2009
Justin Winters Individual Corporate OfficerVP of Operations Jan 1, 2019
Lindsey Huffman Individual Other Apr 20, 2026

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1184739245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2858 PROFESSIONAL CT",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035035",
            "telephone_number": "573-335-4800",
            "fax_number": "573-335-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2858 PROFESSIONAL CT",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035035",
            "telephone_number": "573-335-4800",
            "fax_number": "573-335-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-492-6440"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "826299406",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.