NPIMap

Organization Active NPI

Preferred Hospice of Missouri LLC

Doing business as Preferred Hospice

  • Community Based Hospice Care Agency
  • Dexter, MO
National Provider Identifier
1548296304
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
139-3HO Issued in MO
Legal business name
PREFERRED HOSPICE OF MISSOURI LLC
Doing business as
Preferred Hospice
Practice address
423 Business Highway 60 West
Dexter, MO 63841-1121
Phone
(573) 614-4774
Fax
(573) 614-4775
NPI assigned
Jun 23, 2006
Last updated
Jan 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
James C Lincoln
Title
Member
Phone
(573) 481-9625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 139-HO MO
Community Based Hospice Care Agency 251G00000X 139-3HO MO Primary

Addresses

Primary practice location

423 Business Highway 60 West
Dexter, MO 63841-1121

Mailing address

1220 North Main Street
Sikeston, MO 63801-4827
Phone (573) 481-9625

Other identifiers 3

IdentifierTypeStateIssuer
826195208MedicaidMO
1548296304MedicaidMO
200884OtherMOBLUE CROSS BLUE SHIELD

Other names 1

  • Preferred Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040716000980 MO Part A Provider - Hospice 6406835016 Practice locations: Dexter, MO; Farmington, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548296304. Details of each certification follow.

Hospice certification: CCN 261603

Legal name
PREFERRED HOSPICE OF MISSOURI LLC
Doing business as
PREFERRED HOSPICE OF MISSOURI-FARMINGTON
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 7, 2004
Last certification
Feb 5, 2020
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
810 Progress Dr
Farmington, MO 63640-9157

Care Compare: Hospice

Medicare Care Compare
Listed as
Preferred Hospice of MissouriCCN 261603 · All quality measures
Ownership
For-Profit
Certified
Oct 7, 2004
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
26D1031639Preferred Hospice of Missouri423 W Business Hwy 60, Dexter, MO 63841Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory

Member organizations 1

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

Locations

423 W Business US Highway 60
Dexter, MO 63841
Phone (573) 614-4774

540 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-1813

810 Progress Dr
Farmington, MO 63640
Phone (573) 756-9800

6 Mini Dr
#H
Sikeston, MO 63801
Phone (573) 472-4774

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Vicki Lopez Individual W-2 Managing EmployeeAd; Apr 1, 2025
Lauren Lynch Individual W-2 Managing EmployeeClinical Manager Jun 9, 2025
Sean Copeland Individual W-2 Managing Employee May 11, 2022
Donald R Chadwell Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2008
Brieanna Malady Individual W-2 Managing EmployeeClinical Manager Oct 1, 2025
Preferred Hospice of Missouri LLC Organization, Dexter, MO Corporation, LLC Operational/Managerial Control Oct 12, 2004
Christopher R Montgomery Individual W-2 Managing EmployeeMD; Apr 1, 2025
James C Lincoln Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2008 37.5%
Corporate OfficerManaging Member Feb 1, 2008
JCJL Holdings LLC Organization, Osage Beach, MO Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2010 75%
Horizon Capital LLC Organization, Oklahoma City, OK LLC 5% Or Greater Direct Ownership Interest Mar 8, 2004 25%
Judy L Lincoln Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2008 37.6%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regional HospiceSpringfield, MO, CCN 261578 Hospice 5% Or Greater Direct Ownership Interest (25%) Jul 1, 2014

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1548296304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NORTH MAIN STREET",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014827",
            "telephone_number": "573-481-9625",
            "fax_number": "573-481-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 BUSINESS HIGHWAY 60 WEST",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411121",
            "telephone_number": "573-614-4774",
            "fax_number": "573-614-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HOSPICE OF MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-481-9625"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "139-HO",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "139-3HO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "826195208",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548296304",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "200884",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dexter, MO

Sources for this page

Verify at the official NPI Registry.