NPIMap

Organization Active NPI

L & C Home Health Agency Inc

  • Home Health Agency
  • Colby, KS
National Provider Identifier
1285635714
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A097003 Issued in KS
Legal business name
L & C HOME HEALTH AGENCY INC
Practice address
1105 Taylor Ave
Colby, KS 67701-9058
Phone
(785) 465-7444
Fax
(785) 465-7474
NPI assigned
Aug 9, 2005
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Shawna Kay Petersen, RN
Title
Admin
Phone
(785) 465-7444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A097003 KS Primary

Addresses

Primary practice location

1105 Taylor Ave
Colby, KS 67701-9058

Mailing address

1105 Taylor Ave
Colby, KS 67701-9058
Phone (785) 465-7444

Other identifiers 2

IdentifierTypeStateIssuer
1530OtherKSBCBS
17-8055OtherKSPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021230000021 KS Part A Provider - Home Health Agency 3375451305 Practice locations: Colby, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285635714. Details of each certification follow.

Home health agency certification: CCN 178055

Legal name
L & C HOME HEALTH AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 17, 2002
Last certification
Apr 25, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jan 18, 2001 in KS
Enrollment address
1105 Taylor Ave
Colby, KS 67701-9058

Care Compare: Home health agency

Medicare Care Compare
Listed as
L & C Home Health Agency IncCCN 178055 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Oct 17, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology

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
17D0992688L & C Home Health Agency Inc1105 Taylor Ave, Colby, KS 67701Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

Locations

1105 Taylor Ave
Colby, KS 67701
Phone (785) 465-7444

1175 S Range Ave
Ste 1
Colby, KS 67701
Phone (785) 465-7444

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Michael Petersen Individual Corporate OfficerVice President Nov 1, 2010
Shawna Petersen Individual 5% Or Greater Indirect Ownership InterestAdministrator Jun 21, 2013 10%
Corporate OfficerPresident of Board/Cfo Jun 21, 2013
Corporate DirectorPresident Jun 16, 2013
W-2 Managing EmployeeAdministrator Jun 21, 2013
Operational/Managerial ControlPresident Jun 21, 2013
Elizabeth Petersen Individual Corporate DirectorBoard Member Nov 1, 2010
W-2 Managing EmployeeHHA Nov 23, 2005
Phyllis Jean Cheney Individual W-2 Managing EmployeeOffice Manager Jan 1, 2005

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1285635714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 TAYLOR AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677019058",
            "telephone_number": "785-465-7444",
            "fax_number": "785-465-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 TAYLOR AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677019058",
            "telephone_number": "785-465-7444",
            "fax_number": "785-465-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & C HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "785-465-7444",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A097003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1530",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "17-8055",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colby, KS

Sources for this page

Verify at the official NPI Registry.