Organization Active NPI

Hospice & Palliative Care of

  • Community Based Hospice Care Agency
  • Springfield, MO
National Provider Identifier
1366450504
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
151-HO Issued in MO
Legal business name
HOSPICE & PALLIATIVE CARE OF
Practice address
2432 East Madrid Ave
Springfield, MO 65804
Phone
(417) 889-1600
Fax
(417) 889-1601
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Mr. Mark Linam
Title
Owner
Phone
(417) 889-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 151-HO MO Primary

Addresses

Primary practice location

2432 East Madrid Ave
Springfield, MO 65804

Mailing address

2432 East Madrid Ave
Springfield, MO 65804
Phone (417) 889-1600

Other identifiers 1

IdentifierTypeStateIssuer
826252801MedicaidMO

National Provider Directory

National Provider Directory

Locations

2432 E Madrid Ave
Springfield, MO 65804
Phone (417) 889-1600

1538 S Enterprise Ave
Springfield, MO 65804
Phone (417) 889-1600

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1366450504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 EAST MADRID AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-889-1600",
            "fax_number": "417-889-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 EAST MADRID AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-889-1600",
            "fax_number": "417-889-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE & PALLIATIVE CARE OF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "LINAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-889-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "151-HO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "826252801",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.