NPIMap

Organization Active NPI

St. John'S Regional Health Center

  • Home Health Agency
  • Aurora, MO
National Provider Identifier
1366511537
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
15925HH Issued in MO
Legal business name
ST. JOHN'S REGIONAL HEALTH CENTER
Practice address
1602 Elliott Street
Suite E
Aurora, MO 65605-2133
Phone
(417) 678-2158
Fax
(417) 678-0414
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Michael Merrigan
Title
General Counsel
Phone
(417) 820-2258

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 159-22 MO
Home Health Agency 251E00000X 15925HH MO Primary

Addresses

Primary practice location

1602 Elliott Street
Suite E
Aurora, MO 65605-2133

Mailing address

1570 W Battlefield St
Suite 110
Springfield, MO 65807-4106
Phone (417) 820-7492

Other identifiers 1

IdentifierTypeStateIssuer
580701001MedicaidMO

Other names 1

  • St. John's Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southwest Medical CLN12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1602 S Elliott Ave
Ste E
Aurora, MO 65605
Phone (417) 678-2158

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1366511537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 W BATTLEFIELD ST",
            "address_2": "SUITE 110",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074106",
            "telephone_number": "417-820-7492",
            "fax_number": "417-820-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ELLIOTT STREET",
            "address_2": "SUITE E",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052133",
            "telephone_number": "417-678-2158",
            "fax_number": "417-678-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "MERRIGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "417-820-2258"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "159-22",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "15925HH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580701001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.