Active NPI
Comprehensive Home Care LLC
- Home Health Agency
- Washington, MO
National Provider Identifier
1326311184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 746-8HH
- Legal business name
- COMPREHENSIVE HOME CARE LLC
- Practice address
- 1451 High St
Suite 203
Washington, MO 63090-6490 - Phone
- (636) 390-9510
- Fax
- (636) 390-8992
- NPI assigned
- Feb 9, 2012
- Last updated
- Feb 9, 2012
- 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
- Greg Spence
- Title
- Owner
- Phone
- (636) 349-2311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 746-8HH | MO | Primary |
Addresses
Primary practice location
1451 High St
Suite 203
Washington, MO 63090-6490
Mailing address
1749 Gilsinn LN
Fenton, MO 63026-2008
Phone (636) 349-2311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267579 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120717000483 | MO | Part A Provider - Home Health Agency | 7012173198 | Practice locations: Washington, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1326311184. Details of each certification follow.
Home health agency certification: CCN 267579
- Legal name
- COMPREHENSIVE HOME CARE LLC
- Doing business as
- ALTERNATIVE HOME HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 24, 2003
- Last certification
- Nov 6, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jan 31, 2012 in MO
- Enrollment address
- 901 W 14TH St
Ste 220
Washington, MO 63090-4198
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Alternative Home Health Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 24, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
901 W 14th St
Ste 220
Washington, MO 63090
Phone (636) 390-3272
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Charles J Riley | 5% Or Greater Direct Ownership Interest | Jan 31, 2012 | 25% |
| Sheryl Woolf | W-2 Managing Employee | Oct 13, 2021 | |
| Cindy Roth | W-2 Managing Employee | Oct 3, 2013 | |
| Charles J Riley | 5% Or Greater Direct Ownership Interest | Jan 31, 2012 | 25% |
| Gregory S Spence | 5% Or Greater Direct Ownership Interest | Jul 2, 2012 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1328745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328745600000",
"number": "1326311184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 GILSINN LN",
"city": "FENTON",
"state": "MO",
"postal_code": "630262008",
"telephone_number": "636-349-2311",
"fax_number": "636-349-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 HIGH ST",
"address_2": "SUITE 203",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630906490",
"telephone_number": "636-390-9510",
"fax_number": "636-390-8992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-09",
"last_updated": "2012-02-09",
"status": "A",
"authorized_official_last_name": "SPENCE",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-349-2311"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "746-8HH",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "267579",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, MO
- Kim D Colter, M.D.
- Compass Health, Inc.
- Compass Health, Inc. (Pathways Community Behavioral Healthcare)
- Comprehensive Care, Inc.. (Comprehensive Medical Homecare Services)
- Comprehensive Eye Care, LTD.
- Comprehensive Surgical, LLC
- Confident American English, LLC (ShowMe Therapy Services)
- Benjamin Jeffrey Connor, D.D.S.
- Harold Groves Cooke III, DDS
- Corinne Ann Coppinger, RNC, WHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.