Marshall County Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7016 Issued in OK

Legal business name

MARSHALL COUNTY HOME HEALTH INC.

Practice address

301 W Lillie Blvd
Madill, OK 73446-1253

Phone

(580) 795-9992

Fax

(580) 795-7609

NPI assigned

Jul 16, 2006

Last updated

Oct 22, 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

Ms. Kimberly Ann Simmons

Title

Ceo

Phone

(580) 795-9992

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417974296. Details of each certification follow.

• CCN 377199 Home health agency · Active · Details

Home health agency certification: CCN 377199

Legal name

MARSHALL COUNTY HOME HEALTH INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 25, 1992

Last certification

Aug 11, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 13, 1992 in OK

Enrollment address

301 W Lillie Blvd
Madill, OK 73446-1253

Listed as

Marshall County Home Health, IncCCN 377199 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Jun 25, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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 1

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

Affiliated clinicians 3

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

• Lindsey L French-Hoffman, DO

  • Family Medicine Physician
  • Kingston, OK
  • NPI 1083266084

  Home health agency

  Care Compare affiliation
• Meghan Fomby, RN, FNP

  • Family Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1831505023

  Home health agency

  Care Compare affiliation
• Amy Lee Goedecke, RN,MSN,FNP-C

  • Family Nurse Practitioner
  • Whitesboro, TX
  • NPI 1952776890

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1417974296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734460278",
            "telephone_number": "580-795-9992",
            "fax_number": "580-795-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W LILLIE BLVD",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734461253",
            "telephone_number": "580-795-9992",
            "fax_number": "580-795-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-795-9992",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100261140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshall County Hma, LLC (AllianceHealth Madill)
• Marshall County Hma, LLC
• Marshall County HMPN, LLC (Family Medicine Clinic of Southern Oklahoma)
• Marshall County HMPN, LLC
• Marshall County HMPN, LLC (Marshall County Medical Center)
• Victoria Ellen Marshall, BHRS
• Royce Gregory Martens, DO
• Danah Renae Martin, PSRS
• Guy Massey, DOCTOR OF PHARMACY
• Madison R Mathews, OTR

• Home Health Agency in Madill, OK
• Providers in Madill, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.