Kirksville Missouri Hospital Company LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

704-9HH Issued in MO

Legal business name

KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC

Doing business as

Missouri's Choice Home Care

Practice address

2412A S Franklin St
Kirksville, MO 63501-4616

Phone

(660) 627-2787

Fax

(660) 627-7492

NPI assigned

Oct 18, 2005

Last updated

Dec 20, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

KIRKSVILLE MISSOURI HOSPITAL COMPANY LLCAs reported in NPPES

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

Authorized official

Name

Laurie Holtsford

Title

Sr Director Business Office Support

Phone

(615) 465-7466

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Missouri's Choice Home Care Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Kirksville Missouri Co LLC

Member of 1

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

• Kirksville Missouri Hospital Company LLC

  dba Northeast Regional Medical Group

  • Rural Health Clinic/Center
  • Kirksville, MO
  • NPI 1508135005

  Member Of

  NPD member

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Kirksville Home Care Services LLC

  dba Northeast Regional Home Health

  • Home Health Agency
  • Kirksville, MO
  • NPI 1598200917

  Sold to, 2016-12-30

  CMS change of ownership

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1225027642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412A S FRANKLIN ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014616",
            "telephone_number": "660-627-2787",
            "fax_number": "660-627-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412A S FRANKLIN ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014616",
            "telephone_number": "660-627-2787",
            "fax_number": "660-627-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC",
        "enumeration_date": "2005-10-18",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "SR DIRECTOR BUSINESS OFFICE SUPPORT",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "704-9HH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "68",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2899261",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "320584",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580420602",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5483002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Missouri's Choice Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirksville Clinic Corp
• Kirksville Dental Group
• Kirksville Foot & Shoe
• Kirksville Home Care Services LLC (Northeast Regional Home Health)
• Kirksville Manor Inc (Kirksville Manor Care Center)
• Kirksville Missouri Hospital Company LLC (Northeast Regional Medical Group)
• Kirksville Missouri Hospital Company LLC (Northeast Regional Medical Group)
• Kirksville Missouri Hospital Company LLC (Northeast Regional Medical Center)
• Kirksville Missouri Hospital Company LLC (Northeast Regional Medical Center)
• Kirksville Missouri Hospital Company, LLC (Northeast Regional Medical Center)

• Home Health Agency in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.