Active NPI
Hospice 2000, Inc.
- Community Based Hospice Care Agency
- Kirksville, MO
National Provider Identifier
1497746234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 00010563
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 827958802 | Medicaid | MO |
Other names 1
- Hospice of Northeast Missouri
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
201 S Baltimore St
Ste C
Kirksville, MO 63501
Phone (660) 626-4844
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2022 | Change of Ownership | Hospice of Northeast Missouri |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Kirksville, MO
- NPI 1316452295
Sold to, 2022-01-01
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Kirksville, MO
- NPI 1720064413
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.