NPIMap

Organization Active NPI

Heartland Regional Medical Center

Doing business as Mosaic Life Care at St Joseph Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
National Provider Identifier
1437259694
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
426-9 Issued in MO
Legal business name
HEARTLAND REGIONAL MEDICAL CENTER
Doing business as
Mosaic Life Care at St Joseph Medical Center
Practice address
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone
(816) 271-6000
NPI assigned
Sep 25, 2006
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Cindy Patterson
Title
Provider Enrollment Specialist
Phone
(816) 271-7861

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 246-0 MO
Psychiatric Hospital Unit 273R00000X NU
General Acute Care Hospital 282N00000X 426-9 MO Primary

Addresses

Primary practice location

5325 Faraon St
Saint Joseph, MO 64506-3488

Mailing address

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6000

Other identifiers 4

IdentifierTypeStateIssuer
1437259694MedicaidIA
010156800MedicaidMO
100099580AMedicaidKS
45054528900MedicaidNE

Other names 1

  • Mosaic Life Care at St Joseph Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061201000472 MO Part A Provider - Hospital 6709772767

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437259694. Details of each certification follow.

Hospital certification: CCN 260006

Legal name
HEARTLAND REGIONAL MEDICAL CENTER
Doing business as
MOSAIC LIFE CARE AT ST JOSEPH MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 4, 2014
Beds
353
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 26, 1985 in MO
Enrollment address
5325 Faraon St
Saint Joseph, MO 64506-3488
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Mosaic Life Care at St JosephCCN 260006 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Antesthesia of HRMC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Member organizations 3

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

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Adam Stein Individual Corporate Director Jan 1, 2015
Renee Hayes Individual W-2 Managing Employee Jun 1, 2020
Thomas George Richmond Individual Corporate Director Jan 1, 2019
Michael M Poore Individual Corporate OfficerChief Executive Officer Dec 1, 2022
Dwight Carvell Individual Corporate DirectorDirector of Reimbursement Dec 28, 2021
Melody Ann Smith Individual Corporate DirectorBoard Member Jan 1, 2019
Matthew Lukens Individual Corporate Director Jan 1, 2018
Lucinda L Hayden Individual Corporate Director Jan 1, 2017
Steven C Looney Individual Corporate Director Jan 1, 2012
Gina a Avila Individual W-2 Managing Employee Jun 1, 2020
Rachael Praiswater Individual W-2 Managing EmployeeProvider Enrollment Specialist Sep 28, 2020
Dan J Heckman Individual Corporate Director Jan 1, 2014
Heartland Regional Medical Center Organization, Saint Joseph, MO Operational/Managerial Control Nov 13, 2007 100%
Julee Thompson Individual Corporate OfficerChief Nursing Executive Sep 12, 2016
Mosaic Health System Organization, Saint Joseph, MO 5% Or Greater Direct Ownership Interest Aug 8, 1986 100%
Ophelia Rucker Individual Corporate Director Jan 1, 2016
Cynthia G Patterson Individual W-2 Managing Employee Mar 28, 2014
Gary W. Frazer Individual Corporate Director Jan 1, 2018
Serena Naylor Individual Corporate Director Jan 1, 2015
Sterett Schanze Individual Corporate Director Jan 1, 2017

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mosaic Life Care Home HealthSaint Joseph, MO, CCN 267064 Home health agency Operational/Managerial Control Jul 1, 1987
Mosaic Life Care HospiceSaint Joseph, MO, CCN 261507 Hospice Operational/Managerial Control (100%) Jan 1, 1987

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

Practitioners 81

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.

View all 81

Affiliated clinicians 608

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

View all 608

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1437259694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063488",
            "telephone_number": "816-271-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063488",
            "telephone_number": "816-271-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "816-271-7861"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "246-0",
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "426-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437259694",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010156800",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099580A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45054528900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Life Care at St Joseph Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.