NPIMap

Organization Active NPI

Community Hospital Association

Doing business as Community Healthcare and Hospice

  • Home Health Agency
  • McCook, NE
National Provider Identifier
1194753889
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
651001 Issued in NE
Legal business name
COMMUNITY HOSPITAL ASSOCIATION
Doing business as
Community Healthcare and Hospice
Practice address
711 E 11TH St
Ste a
MC Cook, NE 69001-3692
Phone
(308) 344-8356
NPI assigned
Jun 29, 2006
Last updated
Jan 14, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Mr. Troy A Bruntz
Title
President & Ceo
Phone
(308) 344-8315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 651001 NE Primary

Addresses

Primary practice location

711 E 11TH St
Ste a
MC Cook, NE 69001-3692

Mailing address

PO Box 1328
MC Cook, NE 69001-1328
Phone (308) 344-8303

Other identifiers 1

IdentifierTypeStateIssuer
00530OtherBLUE CROSS

Other names 1

  • COMMUNITY HEALTHCARE AND HOSPICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110302000499 NE Part A Provider - Home Health Agency 9133101629 Practice locations: McCook, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194753889. Details of each certification follow.

Home health agency certification: CCN 287106

Legal name
COMMUNITY HOSPITAL ASSOCIATION
Doing business as
COMMUNITY HEALTHCARE AND HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 27, 1996
Last certification
Mar 6, 2019
Ownership / control type
Proprietary
Most recent change of ownership
Nov 14, 2025
Organization structure
CorporationNon-profit
Incorporated
Sep 4, 1970 in NE
Enrollment address
711 E 11TH St
Ste a
McCook, NE 69001-3692

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angels Care Home Health of McCookCCN 287106 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jun 27, 1996
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
Part of
Community Hosp Association

Locations

302 E 6th St
Curtis, NE 69025
Phone (308) 367-4162

302 E 6th St
Rm 13
Curtis, NE 69025
Phone (308) 367-4162

407 W 5th St
McCook, NE 69001
Phone (308) 344-8356

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Michael C Lord Individual Corporate Officer Dec 20, 2023
Corporate Director May 18, 2022
Jana J Kmoch Individual Corporate Director Dec 19, 2018
Kurt R Vosburg Individual Corporate Officer Dec 20, 2023
Corporate Director Dec 15, 2021
Grant R Norgaard Individual Corporate Director Dec 20, 2023
Matthew G Nielsen Individual Corporate Officer Dec 21, 2022
Corporate Director Dec 15, 2021
Lori a Beeby Individual Corporate OfficerVice President Support Services Dec 12, 2016
W-2 Managing EmployeeVice President Support Services Dec 12, 2016
Operational/Managerial ControlVice President Support Services Dec 12, 2016
Molly L Herzberg Individual Corporate OfficerVP Clinical Services & Cno Mar 25, 2019
W-2 Managing EmployeeVP Clinical Services & Cno Mar 25, 2019
Operational/Managerial ControlVP Clinical Services & Cno Mar 25, 2019
Karen Kliment Thompson Individual Corporate OfficerVice President Ancillary Services Jun 15, 2011
W-2 Managing EmployeeVice President Ancillary Services Feb 13, 2006
Operational/Managerial ControlVice President Ancillary Services Feb 13, 2006
Kristin M Fulkerson Individual Contracted Managing EmployeeHome Health Medical Director Feb 23, 2018
Operational/Managerial ControlHome Health Medical Director Feb 23, 2018
Barbara K Long Individual W-2 Managing EmployeeHome Health Director Dec 5, 2016
Operational/Managerial ControlHome Health Director Dec 5, 2016
Troy a Bruntz Individual Corporate OfficerPresident & Ceo Jun 15, 2011
W-2 Managing EmployeePresident & Ceo Jun 30, 2003
Operational/Managerial ControlPresident & Ceo Jun 30, 2003
Sean Wolfe Individual Corporate OfficerCfo Nov 16, 2016
W-2 Managing EmployeeCfo Oct 19, 2016
Operational/Managerial ControlCfo Oct 19, 2016
Karen J Craw Individual Corporate Director Dec 20, 2023
Darren Esch Individual Corporate Officer Dec 15, 2021
Corporate Director Dec 16, 2020
Matthew B Davidson Individual Corporate Director Dec 21, 2022
Ashley Marie Vontz Individual Corporate Director Dec 21, 2022

Owners & managing parties with NPI records 2

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 57

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.

View all 57

Affiliated clinicians 4

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1194753889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690011328",
            "telephone_number": "308-344-8303",
            "fax_number": "308-344-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E 11TH ST",
            "address_2": "STE A",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013692",
            "telephone_number": "308-344-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOSPITAL ASSOCIATION",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "BRUNTZ",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "308-344-8315",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NE",
            "license": "651001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00530",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY HEALTHCARE AND HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMMUNITY HEALTHCARE AND HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McCook, NE

Sources for this page

Verify at the official NPI Registry.