Journey Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

JOURNEY HOSPICE LLC

Practice address

1314 W Saint Joseph St
Perryville, MO 63775-1563

Phone

(573) 605-1202

Fax

(573) 605-1203

NPI assigned

Dec 18, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer N Cissell, RN

Title

Manager

Phone

(573) 517-3705

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Hospice certification: CCN 261707

Legal name

JOURNEY HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 16, 2024

Last certification

May 16, 2024

Organization structure

LLCProprietary

Enrollment address

118 W Saint Joseph St
Perryville, MO 63775-1452

Listed as

Journey Hospice, LLCCCN 261707

Certified

May 16, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

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

• Mark B. Schabbing, M.D.

  • Family Medicine Physician
  • Perryville, MO
  • NPI 1861584534

  Contracted Managing Employee, Other

  CMS ownership

Affiliated clinicians 2

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

• Dominic Jeffrey Haertling, MD

  • Internal Medicine Physician
  • Perryville, MO
  • NPI 1558821413

  Hospice

  Care Compare affiliation
• Mark B. Schabbing, M.D.

  • Family Medicine Physician
  • Perryville, MO
  • NPI 1861584534

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1346018561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 W SAINT JOSEPH ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751563",
            "telephone_number": "573-605-1202",
            "fax_number": "573-605-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 W SAINT JOSEPH ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751563",
            "telephone_number": "573-605-1202",
            "fax_number": "573-605-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "CISSELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-517-3705",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe David Hutchison, D.D.S., P.C.
• John G. Esswein, DDS, LLC
• Kirsten Johnston, PTA
• Elizabeth Ann Jones, M.D.
• Joseph W. Sharlow M.D. PC
• Bhargav Kanani, MD
• Allison Louise Kell, DPT
• Doris Jean Kiefer, PUBLIC HEALTH DEPT.
• Jessica Kilpatrick Congiardo
• Christy Marie King, MPT

• Community Based Hospice Care Agency in Perryville, MO
• Providers in Perryville, MO by specialty
• Community Based Hospice Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.

Verify at the official NPI Registry.