NPIMap

Organization Active NPI

Harrison County Community Hospital District

Doing business as Home Health of Harrison County Hospital

  • In Home Supportive Care Agency
  • Bethany, MO
National Provider Identifier
1649274606
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
Doing business as
Home Health of Harrison County Hospital
Practice address
2703 Miller St
Bethany, MO 64424-2704
Phone
(660) 425-7863
Fax
(660) 425-8026
NPI assigned
Jun 8, 2005
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HARRISON COUNTY COMMUNITY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Christina Gillespie
Title
Chief Executive Officer
Phone
(660) 425-2211

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Chore Provider 372500000X
Personal Care Attendant 3747P1801X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2703 Miller St
Bethany, MO 64424-2704

Mailing address

2600 Miller St
Bethany, MO 64424-2701
Phone (660) 425-2211

Other identifiers 4

IdentifierTypeStateIssuer
854726007MedicaidMO
584726004MedicaidMO
265125302MedicaidMO
285125308MedicaidMO

Other names 1

  • Home Health of Harrison County Hospital 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
Part of
Harrison Co Community H

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 6, 2022 Change of OwnershipThis provider was the seller Harrison County Home Health & HospiceCCN 267560, MO, NPI 1730251646

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1649274606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MILLER ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644242701",
            "telephone_number": "660-425-2211",
            "fax_number": "660-425-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 MILLER ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644242704",
            "telephone_number": "660-425-7863",
            "fax_number": "660-425-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT",
        "enumeration_date": "2005-06-08",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "660-425-2211"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854726007",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584726004",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265125302",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285125308",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health of Harrison County Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Health of Harrison County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethany, MO

Sources for this page

Verify at the official NPI Registry.