Organization Active NPI

Hospice 2000, Inc.

  • Community Based Hospice Care Agency
  • Kirksville, MO
National Provider Identifier
1497746234
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
00010563 Issued in MO
Legal business name
HOSPICE 2000, INC.
Practice address
201 S Baltimore St
Suite C
Kirksville, MO 63501-3751
Phone
(660) 627-9711
Fax
(660) 627-7005
NPI assigned
Nov 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Mrs. Stephanie Byrum
Title
Executive Director
Phone
(660) 627-9711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 00010563 MO Primary

Addresses

Primary practice location

201 S Baltimore St
Suite C
Kirksville, MO 63501-3751

Mailing address

201 S Baltimore St
Suite C
Kirksville, MO 63501-3751
Phone (660) 627-9711

Other identifiers 1

IdentifierTypeStateIssuer
827958802MedicaidMO

Other names 1

  • Hospice of Northeast Missouri Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

201 S Baltimore St
Ste C
Kirksville, MO 63501
Phone (660) 626-4844

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2022 Change of OwnershipThis provider was the seller Hospice of Northeast MissouriCCN 261557, MO, NPI 1316452295

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1497746234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S BALTIMORE ST",
            "address_2": "SUITE C",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013751",
            "telephone_number": "660-627-9711",
            "fax_number": "660-627-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BALTIMORE ST",
            "address_2": "SUITE C",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013751",
            "telephone_number": "660-627-9711",
            "fax_number": "660-627-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE 2000, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "BYRUM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-627-9711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "00010563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "827958802",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Northeast Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.