Active NPI
Crown Hospice Inc
- Community Based Hospice Care Agency
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2026
- 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
- Timothy Winters
- Title
- President
- Phone
- (918) 492-6440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 826299406 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- For-Profit
- Certified
- Jan 25, 2007
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2110159 | Crown Hospice | Certificate of waiver | Mar 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Susan L. Winters | Corporate Director | Nov 1, 2012 | |
| Thomas J Winters | 5% Or Greater Direct Ownership Interest | Aug 7, 2006 | 50% |
| Corporate Officer | Aug 7, 2006 | ||
| Corporate Director | Aug 31, 2006 | ||
| Timothy J Winters | 5% Or Greater Direct Ownership Interest | Aug 7, 2006 | 50% |
| Corporate Officer | Aug 7, 2006 | ||
| Corporate Director | Aug 31, 2006 | ||
| Andrea Wade | W-2 Managing Employee | Apr 14, 2025 | |
| Jessica Hendley | W-2 Managing Employee | Jun 12, 2024 | |
| William C Bryant | Other | Aug 12, 2009 | |
| Justin Winters | Corporate Officer | Jan 1, 2019 | |
| Lindsey Huffman | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.