NPIMap

Organization Active NPI

Harry Hynes Memorial Hospice, Inc.

  • Community Based Hospice Care Agency
  • Wichita, KS
National Provider Identifier
1487638508
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARRY HYNES MEMORIAL HOSPICE, INC.
Practice address
313 S Market St
Wichita, KS 67202-3805
Phone
(316) 265-9441
Fax
(316) 265-6066
NPI assigned
Dec 1, 2005
Last updated
Nov 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Mrs. Renee Hahn
Title
Chief Financial Officer
Phone
(316) 265-9441

Specialties & licenses 1

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

Addresses

Primary practice location

313 S Market St
Wichita, KS 67202-3805

Mailing address

313 S Market St
Wichita, KS 67202-3805
Phone (316) 265-9441

Other identifiers 4

IdentifierTypeStateIssuer
000831OtherKSBLUE CROSS BLUE SHIELD
100221070BMedicaidKS
4801OtherKSBLUE CROSS BLUE SHIELD
04803OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041210000678 KS Part A Provider - Hospice 8820055809 Practice locations: Coffeyville, KS; Oswego, KS; Pittsburg, KS; Wichita, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487638508. Details of each certification follow.

Hospice certification: CCN 171500

Legal name
HARRY HYNES MEMORIAL HOSPICE, INC
Doing business as
HARRY HYNES MEMORIAL HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 18, 1986
Last certification
Jun 20, 2022
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Nov 8, 1982 in KS
Enrollment address
313 S Market St
Wichita, KS 67202-3805

Care Compare: Hospice

Medicare Care Compare
Listed as
Harry Hynes Memorial HospiceCCN 171500 · All quality measures
Ownership
Other
Certified
Jun 18, 1986
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hospice Inc2 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.

Member organizations 2

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

Locations

1503 W 11th St
Coffeyville, KS 67337
Phone (620) 251-1640

2404 W 8th St
Coffeyville, KS 67337
Phone (620) 330-9036

226 S Main St
El Dorado, KS 67042
Phone (316) 321-4738

606 N Main St
Lowr
Newton, KS 67114
Phone (316) 283-1103

3 Med Center Cir
Pittsburg, KS 66762
Phone (620) 231-2650

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
John David Vogt Individual Corporate DirectorBoard Member Aug 26, 2015
Travis I McBride Individual Corporate DirectorBoard Member Nov 30, 2022
Renee Hahn Individual OtherFinancial & Compliance Specialist Jul 1, 2024
Diane C Heilman Felt Individual Corporate OfficerSecretary/Treasurer Feb 24, 2021
Corporate DirectorBoard Member Sep 1, 2015
Jeremy Ensey Individual Corporate DirectorBoard Member Jun 10, 2020
Christopher T Borniger Individual Corporate OfficerBoard Chair Dec 6, 2023
Corporate DirectorBoard Member Aug 26, 2015
Stephanie Murray Individual Corporate DirectorBoard Member Jun 19, 2019
Thomas Hoover Individual Corporate DirectorBoard Member May 24, 2017
James Garrelts Individual Corporate DirectorBoard Member Jun 10, 2020
Robert E Carlton Individual Corporate OfficerVice Chair Feb 24, 2021
Corporate DirectorBoard Member Jun 19, 2019
Victoria Snyder Individual W-2 Managing EmployeeVpstrategicplanning/Integrated SVCS Aug 19, 2019
Gerald (Jerry) Kerschen Individual Corporate OfficerPresident & Ceo Jul 31, 2000
W-2 Managing EmployeePresident & Ceo Jul 31, 2000
Gaynelle Springer Individual Corporate OfficerChief Financial Officer Jun 1, 2024
W-2 Managing EmployeeChief Financial Officer Jun 1, 2024
Kartikeya Saboo Individual Corporate DirectorBoard Member Dec 2, 2020
Kristen Walker Individual W-2 Managing EmployeeVP of Clinical Services Aug 19, 2019
Jarrod Hayes Individual W-2 Managing EmployeeVP of Clinical Services Aug 12, 2022
Peggy L Johnson Individual Corporate DirectorBoard Member Jun 10, 2020
Felicia Batiste Individual W-2 Managing EmployeeVice President of Human Resources Jul 15, 2019
Daniel J Morgan Individual Contracted Managing EmployeeMedical Director Jan 1, 2019

Owners & managing parties with NPI records 2

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
Winfield Senior Living CommunityWinfield, KS, CCN 175327 Skilled nursing facility Adp of the SNF Mar 23, 2025
Bridges Home Care, IncWichita, KS, CCN 178140 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 23, 2023

Owned or controlled facilities with NPI records 2

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

Subparts reporting this organization as parent 2

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

Practitioners & affiliated clinicians

Practitioners 6

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1487638508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S MARKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023805",
            "telephone_number": "316-265-9441",
            "fax_number": "316-265-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S MARKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023805",
            "telephone_number": "316-265-9441",
            "fax_number": "316-265-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY HYNES MEMORIAL HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "316-265-9441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000831",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100221070B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4801",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04803",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.