NPIMap

Organization Active NPI

Childress County Hospital District

Doing business as Childress Regional Medical Center

  • Community Based Hospice Care Agency
  • Childress, TX
National Provider Identifier
1467477000
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
004642 Issued in TX
Legal business name
CHILDRESS COUNTY HOSPITAL DISTRICT
Doing business as
Childress Regional Medical Center
Practice address
Hwy 83 North
Childress, TX 79201
Phone
(940) 937-6371
Fax
(940) 937-9626
NPI assigned
Jul 13, 2006
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Mrs. Holly Holcomb
Title
Ceo
Phone
(940) 937-9178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 004642 TX Primary

Addresses

Primary practice location

Hwy 83 North
Childress, TX 79201

Mailing address

PO Box 1030
Childress, TX 79201-1030
Phone (940) 937-6371

Other identifiers 2

IdentifierTypeStateIssuer
00217000MedicaidTX
HH002COtherTXBLUE CROSS

Other names 1

  • Childress Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161028000883 TX Part A Provider - Hospice 5193634111 Practice locations: Childress, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467477000. Details of each certification follow.

Hospice certification: CCN 451658

Legal name
CHILDRESS COUNTY HOSPITAL DISTRICT
Doing business as
CHILDRESS REGIONAL MEDICAL CENTER HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 13, 1996
Last certification
Mar 12, 2020
Ownership / control type
Other
Organization structure
GovernmentNon-profit
Incorporated
in TX
Enrollment address
901 US Hwy 83 North
Childress, TX 79201-1030

Other NPIs with the same Medicare PAC ID 18

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

View all 18

Care Compare: Hospice

Medicare Care Compare
Listed as
Childress Regional Medical Center HospiceCCN 451658 · All quality measures
Ownership
Other
Certified
Nov 13, 1996
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Childress Regional Medi26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Childress County Hospital District Organization, Childress, TX Non-profit Operational/Managerial Control Nov 13, 1996 100%
Emilee Stratton Individual Corporate OfficerCfo Mar 19, 2018
W-2 Managing Employee May 7, 2014
Holly Holcomb Individual Corporate OfficerCeo May 29, 2021
W-2 Managing EmployeeNurse Apr 15, 1996

Owners & managing parties with NPI records 18

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

View all 18

All facility ownership & control disclosures 14

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

FacilityTypeRoleSince
Childress Regional Medical CenterChildress, TX, CCN 450369 Hospital Operational/Managerial Control Dec 29, 1986
Avir at ChildressChildress, TX, CCN 675055 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2014
Prairie House Living CenterPlainview, TX, CCN 675478 Skilled nursing facility Operational/Managerial Control Sep 1, 2014
Ralls Nursing HomeRalls, TX, CCN 675407 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Adp of the SNF		 Dec 1, 2014
Jan 23, 2025
Apex Secure Care BrownfieldBrownfield, TX, CCN 675019 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Adp of the SNF		 Dec 1, 2014
Jan 23, 2025
Landmark of Amarillo Rehabilitation and Nursing CenterAmarillo, TX, CCN 455675 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2017
Villa Haven Health and Rehabilitation CenterBreckenridge, TX, CCN 675279 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Crowell Nursing CenterCrowell, TX, CCN 675013 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Willowcreek Rehab and NursingAbilene, TX, CCN 675350 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Matador Health and Rehabilitation CenterMatador, TX, CCN 676389 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Wellington Care CenterWellington, TX, CCN 675945 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2024
Memphis Convalescent CenterMemphis, TX, CCN 675970 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2024
Childress Regional Medical Center Home HealthChildress, TX, CCN 457489 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 31, 1983
Fox Rural Health ClinicChildress, TX, CCN 453996 Rural health clinic Operational/Managerial Control Jun 25, 2008

Owned or controlled facilities with NPI records 16

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

View all 16

Facilities with the same owner 14

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

View all 14

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1467477000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792011030",
            "telephone_number": "940-937-6371",
            "fax_number": "940-937-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 83 NORTH",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "79201",
            "telephone_number": "940-937-6371",
            "fax_number": "940-937-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRESS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-937-9178",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "004642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00217000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH002C",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childress Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Childress, TX

Sources for this page

Verify at the official NPI Registry.