Organization Active NPI

Hospice of Reno County, Inc.

Doing business as HomeCare of Hutchinson

  • Home Health Agency
  • Hutchinson, KS
National Provider Identifier
1205870367
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOSPICE OF RENO COUNTY, INC.
Doing business as
HomeCare of Hutchinson
Hospice & HomeCare of Reno County
Practice address
2020 N Waldron St Ste 100
Hutchinson, KS 67502-1100
Phone
(620) 665-2473
Fax
(620) 669-5959
NPI assigned
Jun 16, 2006
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Darla Wilson, RN, BSN, CHPN
Title
Chief Administrative Officer
Phone
(620) 665-2473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2020 N Waldron St Ste 100
Hutchinson, KS 67502-1100

Mailing address

2020 N Waldron St Ste 100
Hutchinson, KS 67502-1100
Phone (620) 665-2473

Other identifiers 2

IdentifierTypeStateIssuer
100221080AMedicaidKS
00663OtherKSBCBS

Other names 2

  • HomeCare of Hutchinson Doing business as
  • Hospice & HomeCare of Reno County Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060818000183 KS Part A Provider - Home Health Agency 4486562709 Practice locations: Hutchinson, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205870367. Details of each certification follow.

Home health agency certification: CCN 177127

Legal name
HOSPICE OF RENO COUNTY INC
Doing business as
HOSPICE AND HOMECARE OF RENO COUNTY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 19, 1984
Last certification
Feb 12, 2016
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Sep 15, 1981 in KS
Enrollment address
2020 N Waldron St
Ste 100
Hutchinson, KS 67502-1100

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hospice and Homecare of Reno CountyCCN 177127 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Apr 19, 1984
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
Homecare of Hutchinson3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Allen K Fee Individual Corporate DirectorBoard Member Sep 15, 2010
Diane Lee Individual Corporate DirectorBoard of Director Member Jul 1, 2013
Hutchinson Regional Medical Center Inc Organization, Hutchinson, KS Corporation 5% Or Greater Direct Ownership Interest Oct 21, 2011 100%
Rex Anthony Degner Individual Corporate DirectorBoard Member Sep 9, 2009
Nicholas Baldetti Individual Corporate DirectorBoard Member Jul 1, 2021
Michael K Moore Individual Corporate DirectorBoard Member Jul 1, 2021
Richard J Staab Individual Corporate DirectorBoard Member Jul 1, 2021
Keith E Hughes Individual Corporate DirectorBoard Member Sep 15, 2010
Valerie Pryor Individual Corporate DirectorBoard Member Jul 1, 2017
Christy West Individual Corporate DirectorBoard Member Jul 1, 2021
Lee Allen Spence Individual Corporate DirectorBoard Member Jul 1, 2016
Michael T Hagley Individual Corporate DirectorBoard Member Jul 1, 2015
Thomas Frederick Sellers Individual Corporate DirectorBoard Member Jul 1, 2017
David F Gleason Individual Corporate DirectorBoard Member Jul 1, 2021
Darla J. Wilson Individual Corporate OfficerChief Administrative Officer Nov 29, 2004
W-2 Managing Employee Nov 29, 2004
Rob Green Individual Corporate DirectorBoard Member Jul 1, 2016
Cindy Broxterman Individual Corporate DirectorBoard Member Jul 1, 2021
Robert M Weingart Individual Corporate DirectorBoard Member Jul 1, 2021

Owners & managing parties with NPI records 8

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 21

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1205870367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N WALDRON ST STE 100",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021100",
            "telephone_number": "620-665-2473",
            "fax_number": "620-669-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N WALDRON ST STE 100",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021100",
            "telephone_number": "620-665-2473",
            "fax_number": "620-669-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF RENO COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "620-665-2473",
        "authorized_official_credential": "RN, BSN, CHPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100221080A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00663",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeCare of Hutchinson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice & HomeCare of Reno County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.