NPIMap

Organization Active NPI

Texas County Memorial Hospital

Doing business as Home Health of the Ozarks

  • Home Health Agency
  • Houston, MO
National Provider Identifier
1356324727
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
101-21 Issued in MO
Legal business name
TEXAS COUNTY MEMORIAL HOSPITAL
Doing business as
Home Health of the Ozarks
Practice address
1422 S Sam Houston Blvd Ste 200
Houston, MO 65483
Phone
(417) 967-1240
Fax
(417) 967-2360
NPI assigned
Nov 21, 2005
Last updated
Jan 15, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TEXAS COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Mrs. Linda J Pamperien
Title
Cfo
Phone
(417) 967-1255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X 101-21 MO Primary

Addresses

Primary practice location

1422 S Sam Houston Blvd Ste 200
Houston, MO 65483

Mailing address

1333 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-1240

Other identifiers 6

IdentifierTypeStateIssuer
101-35HHOtherMOSTATE LICENSE
26D0446916OtherMOCLIA
580156503MedicaidMO
30113OtherMOBLUE CROSS
264019704MedicaidMO
284019700MedicaidMO

Other names 1

  • Home Health of the Ozarks Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071120000370 MO Part A Provider - Home Health Agency 9436041696 Practice locations: Houston, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356324727. Details of each certification follow.

Home health agency certification: CCN 267185

Legal name
TEXAS COUNTY MEMORIAL HOSPITAL
Doing business as
HOME HEALTH OF THE OZARKS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 8, 1984
Last certification
Apr 17, 2019
Ownership / control type
Non-Profit
Organization structure
GovernmentNon-profit
Enrollment address
1422 S Sam Houston Blvd
Ste 200
Houston, MO 65483-2119
HHA Branch

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health of the OzarksCCN 267185 · All quality measures
Overall star rating
2 of 5
Ownership
Non-Profit
Certified
Mar 8, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Texas County Memorial HSP16 organizations share this tax ID, including this one
Part of
Texas County Memorial HSP

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Linda J Pamperien Individual Corporate OfficerCfo Nov 4, 1996
W-2 Managing EmployeeCfo Nov 4, 1996
Allan Branstetter Individual Corporate DirectorBoard Member Apr 2, 2019
Caly Scantlin Individual Corporate DirectorRN Director Jul 25, 2022
W-2 Managing EmployeeRN Director Dec 9, 2022
Jay Loveland Individual Corporate DirectorBoard Member Mar 1, 2017
Russell Gaither Individual Corporate DirectorBoard Member Apr 2, 2013
Joleen Durham Individual Corporate DirectorBoard Member Apr 6, 2021
Stacy D Holland Individual Corporate OfficerPresident/Ceo Nov 14, 2022 100%
W-2 Managing EmployeePresident/Ceo Dec 9, 2022 100%
Steve Pierce Individual Corporate DirectorBoard Member Jun 2, 2020
James R Perry Individual Corporate DirectorBoard Member Jan 27, 2012
Texas County Memorial Hospital Organization, Houston, MO 5% Or Greater Direct Ownership Interest Mar 8, 1984 100%
Operational/Managerial Control Mar 8, 1984 100%

Owners & managing parties with NPI records 14

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

View all 14

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas County Memorial HospitalHouston, MO, CCN 260024 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 1983
Texas County Memorial Hospital Swing BedHouston, MO, CCN 26U024 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 8, 2015
Hospice of CareHouston, MO, CCN 261501 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 1, 1983
TCMH Cabool Medical ClinicCabool, MO, CCN 268603 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 7, 2005
Sep 7, 2005
TCMH Family Clinic - LickingLicking, MO, CCN 268630 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 1991
TCMH Mountain Grove ClinicMountain Grove, MO, CCN 268653 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 19, 2010
Feb 12, 2014
TCMH Internal MedicineHouston, MO, CCN 268535 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 14, 2001
Nov 14, 2001

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1356324727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S SAM HOUSTON BLVD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-1240",
            "fax_number": "417-967-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 S SAM HOUSTON BLVD STE 200",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "65483",
            "telephone_number": "417-967-1240",
            "fax_number": "417-967-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "PAMPERIEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "417-967-1255",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "101-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "101-35HH",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0446916",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580156503",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "30113",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264019704",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284019700",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health of the Ozarks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Health of the Ozarks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, MO

Sources for this page

Verify at the official NPI Registry.