King's Manor Methodist Retirement System, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

008786 Issued in TX

Legal business name

KING'S MANOR METHODIST RETIREMENT SYSTEM, INC.

Doing business as

Samaritan Hospice

Practice address

400 Ranger St
Hereford, TX 79045-2812

Phone

(806) 363-6085

Fax

(806) 363-6038

NPI assigned

May 23, 2006

Last updated

Jul 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Marie BatenhorstNPI 1568655322

Title

Hospice Administrator

Phone

(806) 363-6085

Specialties & licenses 2

Addresses

Other names 1

• SAMARITAN HOSPICE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417902016. Details of each certification follow.

• CCN 451782 Hospice · Active · Details

Hospice certification: CCN 451782

Legal name

KING'S MANOR METHODIST RETIREMENT SYSTEM, INC.

Doing business as

KING'S MANOR METHODIST HOME; SAMARITAN HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 21, 2004

Last certification

Sep 11, 2020

Ownership / control type

Non-Profit - Other

Organization structure

CorporationNon-profit

Incorporated

Aug 26, 1997 in TX

Enrollment address

400 Ranger St
Hereford, TX 79045-2812

Listed as

Samaritan HospiceCCN 451782 · All quality measures

Ownership

For-Profit

Certified

Dec 21, 2004

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 12

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.

• Shelly Osborn Moss

  • Clinical Social Worker
  • Hereford, TX
  • NPI 1598552960

  W-2 Managing Employee

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Marie Batenhorst, LBSW

  • Case Manager/Care Coordinator
  • Hereford, TX
  • NPI 1568655322
  NPD Authorized official
• Shelly Osborn Moss

  • Clinical Social Worker
  • Hereford, TX
  • NPI 1598552960
  NPD

Affiliated clinicians 2

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

• Ron K. Rankin, M.D.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1861405250

  Hospice

  Care Compare affiliation
• Trevor Rohm, MD

  • Family Medicine Physician
  • Hereford, TX
  • NPI 1780723791

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1417902016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1999",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790451999",
            "telephone_number": "806-364-0661",
            "fax_number": "806-364-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RANGER ST",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790452812",
            "telephone_number": "806-363-6085",
            "fax_number": "806-363-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING'S MANOR METHODIST RETIREMENT SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "BATENHORST",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "HOSPICE ADMINISTRATOR",
        "authorized_official_telephone_number": "806-363-6085"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "008786",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "TX",
            "license": "008786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMARITAN HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Johnson, OTR/L
• Howard R Johnson, MD
• Alonzo H. Jones, DO
• Joyful Heart Family Medicine PLLC
• Judith Kide Jurugo, PHARMD
• Carolyn Kubacak, CRNA
• Lakko Optimal Health,Inc
• Terra Hardy Lara, LPC
• Wendy Lizardo
• Crystal Lucio

• Community Based Hospice Care Agency in Hereford, TX
• Providers in Hereford, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.