Community Hospital Association

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

345-13 Issued in MO

Legal business name

COMMUNITY HOSPITAL ASSOCIATION

Doing business as

Community Hospital Home Health Agency

Practice address

26136 US Highway 59
Fairfax, MO 64446-8155

Phone

(660) 686-2211

Fax

(660) 686-2618

NPI assigned

Mar 14, 2006

Organization subpart

Yes

Parent organization

COMMUNITY HOSPITAL ASSOCIATIONAs reported in NPPES

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

Authorized official

Name

Mrs. Myra Evans

Title

Administrator

Phone

(660) 686-2211

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• COMMUNITY HOSPITAL HOME HEALTH AGENCY Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Community Hospital Association

Change-of-ownership history 1

Change of ownership 1

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

• Bentley Enterprises, LLC

  dba Community Home Health and Restorative Care

  • Home Health Agency
  • Mound City, MO
  • NPI 1811518939

  Sold to, 2020-05-01

  CMS change of ownership

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1336118397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26136 US HIGHWAY 59",
            "address_2": "P.O. BOX 107",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644469105",
            "telephone_number": "660-686-2211",
            "fax_number": "660-686-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26136 US HIGHWAY 59",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644468155",
            "telephone_number": "660-686-2211",
            "fax_number": "660-686-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOSPITAL  ASSOCIATION",
        "enumeration_date": "2006-03-14",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-686-2211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "345-13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580492502",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "90307018",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY HOSPITAL HOME HEALTH AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Condra M Anderson, FNP
• Goldie Barnes, RD
• Jessica Bowman, FNP-BC
• Samantha Jo Brown, FNP
• Community Hospital Association
• Community Hospital Association
• Community Hospital Association (Fairfax Family Medicine)
• Community Hospital Association
• Community Hospital Association Crna Group
• Community Hospital Association FNP Group

• Home Health Agency in Fairfax, MO
• Providers in Fairfax, 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 Mar 7, 2014; 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.