Organization Active NPI

Heritage Health LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Koshkonong, MO
National Provider Identifier
1588575153
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
HERITAGE HEALTH LLC
Practice address
4335 US 160
Koshkonong, MO 65692-9770
Phone
(417) 794-4188
Fax
(417) 384-3875
NPI assigned
Sep 14, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Dr. Scott F Roush, DONPI 1750469706
Title
Owner/Physician
Phone
(417) 372-2694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU Primary

Addresses

Primary practice location

4335 US 160
Koshkonong, MO 65692-9770

Mailing address

4335 US 160
Koshkonong, MO 65692-9770
Phone (417) 794-4188

Other identifiers 1

IdentifierTypeStateIssuer
200447514MedicaidMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1588575153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 US 160",
            "city": "KOSHKONONG",
            "state": "MO",
            "postal_code": "656929770",
            "telephone_number": "417-794-4188",
            "fax_number": "417-384-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 US 160",
            "city": "KOSHKONONG",
            "state": "MO",
            "postal_code": "656929770",
            "telephone_number": "417-794-4188",
            "fax_number": "417-384-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "417-372-2694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200447514",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Koshkonong, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.