Johnson County Community Health Services

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0508H0 Issued in MO

Legal business name

JOHNSON COUNTY COMMUNITY HEALTH SERVICES

Practice address

723 Pca Rd
Warrensburg, MO 64093-7913

Phone

(660) 747-6121

Fax

(660) 747-6087

NPI assigned

Nov 19, 2005

Organization subpart

No

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

Authorized official

Name

Deborah K Haller, RN, BSN

Title

Administrator

Phone

(660) 747-6121

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Johnson County Hospice Care Doing business as

Member of 1

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

• Johnson County Community Health Services

  • Home Health Agency
  • Warrensburg, MO
  • NPI 1548265176

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1477535862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 PCA RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640937913",
            "telephone_number": "660-747-6121",
            "fax_number": "660-747-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 PCA RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640937913",
            "telephone_number": "660-747-6121",
            "fax_number": "660-747-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON COUNTY COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-19",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "HALLER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-747-6121",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "0508H0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820621902",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "90721019",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson County Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gautam Jayaswal, MD
• Johnson County Board of Services
• Johnson County Board of Services
• Johnson County Board of Services
• Johnson County Care Center
• Johnson County Community Health Services
• Johnson County Community Health Services
• Johnson County Missouri Ambulance
• Alexandria Jo Johnson, DDS
• Connie Lynn Johnson, CNM

• Community Based Hospice Care Agency in Warrensburg, MO
• Providers in Warrensburg, MO by specialty
• Community Based Hospice Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.