Active NPI
On Call Care Services, Inc
- Home Health Agency
- Raytown, MO
National Provider Identifier
1659753325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 887-1HH
- Legal business name
- ON CALL CARE SERVICES, INC
- Practice address
- 6444 Raytown Trfy
Raytown, MO 64133 - Phone
- (816) 569-5470
- Fax
- (816) 293-2982
- NPI assigned
- Jun 18, 2015
- Last updated
- Dec 30, 2020
- 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
- Milton Ferguson
- Title
- President
- Phone
- (816) 299-5608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 887-1HH | MO | Primary |
Addresses
Primary practice location
6444 Raytown Trfy
Raytown, MO 64133
Mailing address
6444 Raytown Trfy
Raytown, MO 64133-5039
Phone (816) 569-5470
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10811 | Medicaid | MO | |
| 10777 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170105000937 | MO | Part A Provider - Home Health Agency | 7911223409 | Practice locations: Raytown, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1659753325. Details of each certification follow.
Home health agency certification: CCN 267620
- Legal name
- ON CALL CARE SERVICES, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 2, 2008
- Last certification
- Aug 26, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 17, 2019 in MO
- Enrollment address
- 6444 Raytown Trfy
Raytown, MO 64133-5039
Care Compare: Home health agency
Medicare Care Compare- Listed as
- On Call Care Services Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 2, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- On Call Care Services Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Raytown, MO
- NPI 1093302671
-
- In Home Supportive Care Agency
- Raytown, MO
- NPI 1639483316
Locations
6444 Raytown Trfy
Raytown, MO 64133
Phone (816) 569-5470
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Milton Ferguson | 5% Or Greater Direct Ownership Interest | Apr 1, 2010 | 100% |
| Corporate Officer | Jan 7, 2019 | ||
| Corporate Director | Apr 1, 2010 | ||
| W-2 Managing Employee | Apr 1, 2010 | ||
| Operational/Managerial Control | Apr 1, 2010 | ||
| Jhanelle E Ferguson | W-2 Managing Employee | Dec 1, 2016 | |
| Operational/Managerial Control | Dec 1, 2016 |
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Nov 4, 2016 | Change of Ownership | Blessed Health and Home Care LLC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609286400000",
"number": "1659753325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6444 RAYTOWN TRFY",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641335039",
"telephone_number": "816-569-5470",
"fax_number": "816-293-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6444 RAYTOWN TRFY",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "64133",
"telephone_number": "816-569-5470",
"fax_number": "816-293-2982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON CALL CARE SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-18",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "MILTON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "816-299-5608"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "887-1HH",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10811",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10777",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.