NPIMap

Organization Active NPI

Hospice of Murray County, Inc

  • Community Based Hospice Care Agency
  • Slayton, MN
National Provider Identifier
1477553352
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF MURRAY COUNTY, INC
Practice address
36 Park Dr
Slayton, MN 56172-1050
Phone
(507) 836-8114
Fax
(507) 836-6462
NPI assigned
Jul 21, 2005
Last updated
May 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Mrs. Nona Magnussen
Title
Administrator
Phone
(507) 836-8114

Specialties & licenses 1

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

Addresses

Primary practice location

36 Park Dr
Slayton, MN 56172-1050

Mailing address

36 Park Dr
PO Box 86
Slayton, MN 56172-1050
Phone (507) 836-8114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170208002625 MN Part A Provider - Hospice 1153604525 Practice locations: Slayton, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477553352. Details of each certification follow.

Hospice certification: CCN 241523

Legal name
HOSPICE OF MURRAY COUNTY INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 11, 1991
Last certification
Apr 25, 2019
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jan 23, 1987 in MN
Enrollment address
36 Park Dr
Slayton, MN 56172-1050

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of Murray County IncCCN 241523 · All quality measures
Ownership
Non-Profit
Certified
Sep 11, 1991
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0920746Hospice of Murray County Inc36 Park Drive, Slayton, MN 56172Certificate of waiverOct 8, 2026

National Provider Directory

National Provider Directory
Tax ID family
Our House of Murray County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Loretta Gervais Individual Operational/Managerial ControlBoard Member Jul 1, 2017 1%
Lisa Graphenteen Individual Operational/Managerial ControlBoard Member Jul 1, 2018 1%
Marti Engelkes Individual Corporate DirectorLicensed Social Worker Jun 21, 2021
Heather Engelkes Individual W-2 Managing EmployeeBusiness Manager Nov 16, 2020

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 3

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": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1477553352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PARK DR",
            "address_2": "PO BOX 86",
            "city": "SLAYTON",
            "state": "MN",
            "postal_code": "561721050",
            "telephone_number": "507-836-8114",
            "fax_number": "507-836-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PARK DR",
            "city": "SLAYTON",
            "state": "MN",
            "postal_code": "561721050",
            "telephone_number": "507-836-8114",
            "fax_number": "507-836-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF MURRAY COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "MAGNUSSEN",
        "authorized_official_first_name": "NONA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-836-8114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slayton, MN

Sources for this page

Verify at the official NPI Registry.