NPIMap

Organization Active NPI

Christian Health Care Hospice, Inc.

  • Community Based Hospice Care Agency
  • Springfield, MO
National Provider Identifier
1417068461
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
102-6HO Issued in MO
Legal business name
CHRISTIAN HEALTH CARE HOSPICE, INC.
Practice address
1328 E Evergreen St
Springfield, MO 65803-4400
Phone
(417) 832-0577
Fax
(417) 831-9566
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Mr. Allen Kilgore
Title
President
Phone
(479) 464-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 102-6HO MO Primary

Addresses

Primary practice location

1328 E Evergreen St
Springfield, MO 65803-4400

Mailing address

1328 E Evergreen St
Springfield, MO 65803-4400
Phone (417) 832-0577

Other identifiers 1

IdentifierTypeStateIssuer
828682906MedicaidMO

Other names 1

  • Regional Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021009000011 MO Part A Provider - Hospice 6204743867 Practice locations: Joplin, MO; Lebanon, MO; Springfield, MO

Hospice certification: CCN 261578

Legal name
CHRISTIAN HEALTH CARE HOSPICE, INC.
Doing business as
REGIONAL HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 26, 1996
Last certification
Jun 23, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 20, 2001 in MO
Enrollment address
3405 W Mount Vernon St
Ste 100
Springfield, MO 65802-5241

Care Compare: Hospice

Medicare Care Compare
Listed as
Regional HospiceCCN 261578
Ownership
For-Profit
Certified
Sep 26, 1996
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1710 E 32nd St
Ste E1
Joplin, MO 64804
Phone (417) 623-8663

1710 E 32nd St
Ste G1
Joplin, MO 64804
Phone (800) 280-5139

420 N Range Line Rd
Ste 4
Joplin, MO 64801
Phone (417) 288-8474

3405 W Mount Vernon St
Ste 100
Springfield, MO 65802
Phone (417) 832-0577

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Midwest Hospice LLC Organization, Sikeston, MO Management services company Operational/Managerial Control Jul 1, 2014
Charlotte a Stutts Individual Corporate OfficerSecretary Jul 1, 2014
Corporate Director Jul 1, 2014
Crown Trading Company Organization, Crescent, OK LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2014 50%
Justin Wayne Slack Individual W-2 Managing EmployeeAd; Jul 16, 2025
Sean Copeland Individual Corporate DirectorGoverning Body Member Jul 21, 2014
Regina G Potter Individual W-2 Managing EmployeeClinical Manager Dec 16, 2025
Donald R Chadwell Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2014 50%
Preferred Hospice of Missouri Northeast LLC Organization, Ballwin, MO LLC 5% Or Greater Direct Ownership Interest Jul 1, 2014 25%
Preferred Hospice of Missouri LLC Organization, Dexter, MO LLC 5% Or Greater Direct Ownership Interest Jul 1, 2014 25%
Thomas E Dahlberg Individual W-2 Managing EmployeeMD; May 9, 2024
Bradley S Hinkle Individual Corporate DirectorBoard Member Jul 21, 2014
Preferred Hospice of Missouri Southwest LLC Organization, Ozark, MO LLC 5% Or Greater Direct Ownership Interest Jul 1, 2014 25%
James C Lincoln Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2014 50%
Corporate OfficerPresident Jul 1, 2014
Corporate Director Jul 1, 2014
Christopher W Billings Individual W-2 Managing EmployeeMD; Mar 20, 2024
JCJL Holdings LLC Organization, Sikeston, MO LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2014 75%
Preferred Hospice of Missouri Central LLC Organization, Columbia, MO LLC 5% Or Greater Direct Ownership Interest Jul 1, 2014 25%
Horizon Capital LLC Organization, Oklahoma City, OK LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2014 25%
Judy L Lincoln Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2014 50%
Operational/Managerial ControlAdministrator Sep 1, 2012

Owners & managing parties with NPI records 6

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

Facilities with the same owner 4

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1417068461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 E EVERGREEN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034400",
            "telephone_number": "417-832-0577",
            "fax_number": "417-831-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 E EVERGREEN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034400",
            "telephone_number": "417-832-0577",
            "fax_number": "417-831-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HEALTH CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-464-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "102-6HO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "828682906",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.