NPIMap

Organization Active NPI

Johnson County Community Health Services

  • Home Health Agency
  • Warrensburg, MO
National Provider Identifier
1548265176
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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
Jun 20, 2005
Last updated
Dec 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

723 Pca Rd
Warrensburg, MO 64093-7913

Mailing address

723 Pca Rd
Warrensburg, MO 64093-7913
Phone (660) 747-6121

Other identifiers 5

IdentifierTypeStateIssuer
07818012OtherMOBCBS-FEP
54672OtherMOHEALTHCARE USA
720300OtherMOTRICARE
90107015OtherMOBCBS
580621902MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051207000709 MO Part A Provider - Home Health Agency 8921029851 Practice locations: Warrensburg, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548265176. Details of each certification follow.

Home health agency certification: CCN 267058

Legal name
JOHNSON COUNTY COMMUNITY HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 1975
Last certification
Jun 3, 2021
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Enrollment address
723 Pca Rd
Warrensburg, MO 64093-7913

Care Compare: Home health agency

Medicare Care Compare
Listed as
Johnson County Community Health ServicesCCN 267058 · All quality measures
Overall star rating
3 of 5
Ownership
Government Operated
Certified
Apr 1, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization 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
Christina Steitz Individual W-2 Managing EmployeeFinance Director Jan 19, 2021
Stephanie Truex Individual Operational/Managerial ControlAdministrator Aug 9, 2021
Amy Brust Individual Operational/Managerial ControlHome Health Manager Jul 13, 2023
Johnson County Community Health Services Organization, Warrensburg, MO Medical provider/supplier, Non-profit Operational/Managerial Control Jan 1, 1985 100%
Other Mar 5, 2012 100%

Practitioners & affiliated clinicians

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1548265176",
    "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": "2005-06-20",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-FEP",
            "identifier": "07818012",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "54672",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "720300",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "90107015",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580621902",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.