NPIMap

Organization Active NPI

Cox HPS of the Ozarks, Inc.

Doing business as CoxHealth at Home

  • Community Based Hospice Care Agency
  • Springfield, MO
National Provider Identifier
1679527238
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COX HPS OF THE OZARKS, INC.
Doing business as
CoxHealth at Home
Practice address
2240 W Sunset St Ste 104
Springfield, MO 65807-6041
Phone
(417) 269-4663
Fax
(417) 269-0692
NPI assigned
May 19, 2006
Last updated
Apr 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COX HPS OF THE OZARKS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
David Raney
Title
Vice President
Phone
(417) 269-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2240 W Sunset St Ste 104
Springfield, MO 65807-6041

Mailing address

2240 W Sunset St Ste 104
Springfield, MO 65807-6041
Phone (417) 269-4663

Other identifiers 1

IdentifierTypeStateIssuer
826307803MedicaidMO

Other names 1

  • CoxHealth at Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191025000514 MO Part A Provider - Hospice 9032237607 Practice locations: Springfield, MO; Branson, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679527238. Details of each certification follow.

Hospice certification: CCN 261624

Legal name
COX HPS OF THE OZARKS, INC.
Doing business as
COXHEALTH AT HOME
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 22, 2006
Last certification
Aug 6, 2021
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
May 6, 1993 in MO
Enrollment address
2240 W Sunset St
Ste 104
Springfield, MO 65807-6041

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Coxhealth at HomeCCN 261624 · All quality measures
Ownership
Non-Profit
Certified
Dec 22, 2006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Cox HPS of the Ozarks Inc3 organizations share this tax ID, including this one
Part of
Cox HPS of the Ozarks Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Locations

121 Cahill Rd
Ste 203
Branson, MO 65616
Phone (417) 269-4663

2902 Arizona Ave
Ste 2
Joplin, MO 64804
Phone (417) 782-0111

2220 W Sunset St
Springfield, MO 65807
Phone (417) 887-7525

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Brian Clonts Individual Contracted Managing EmployeeMD; Jun 2, 2016
Max Buetow Individual Corporate OfficerPresident/Ceo May 1, 2022
Sara L. Hargis Individual Corporate DirectorBoard Chair Oct 1, 2019
Larry W Lipscomb Individual Corporate DirectorBoard Member Oct 1, 2023
Brad E Erwin Individual Corporate DirectorBoard Member Oct 1, 2023
Vickie Nelson Individual Corporate OfficerSecretary Oct 1, 2019
Kirsten Parks Individual W-2 Managing EmployeeDirector of Nursing Dec 22, 2020
Kimberly S Sisk Individual W-2 Managing EmployeeAdmin Director Home Care Service Mar 1, 2020
Jefferson M Tynes Individual Corporate DirectorFirst Vice Chair Oct 1, 2021
David Raney Individual W-2 Managing EmployeeVice President Feb 26, 2024
Jacob M McWay Individual Corporate OfficerCfo Oct 1, 2019
Stacy Faulconer Individual W-2 Managing EmployeeAssistant Director May 21, 2023
Hal Lynn Higdon Individual Corporate DirectorPast Chair Oct 1, 2019
Kurt D Hellweg Individual Corporate DirectorBoard Member Oct 1, 2025
Coxhealth Organization, Springfield, MO Corporation, Non-profit, Chain home office Operational/Managerial Control Oct 1, 2019

Owners & managing parties with NPI records 1

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

Facilities with the same owner 24

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

View all 24

Change-of-ownership history 2

DateEventCounterparty
Oct 1, 2019 Change of OwnershipThis provider was the buyer Coxhealth at HomeCCN 261624, MO, NPI 1679527238
Oct 1, 2019 Change of OwnershipThis provider was the seller Coxhealth at HomeCCN 261624, MO, NPI 1679527238

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 12

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1679527238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 W SUNSET ST STE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076041",
            "telephone_number": "417-269-4663",
            "fax_number": "417-269-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 W SUNSET ST STE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076041",
            "telephone_number": "417-269-4663",
            "fax_number": "417-269-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COX HPS OF THE OZARKS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COX HPS OF THE OZARKS, INC.",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "RANEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "417-269-4663"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "826307803",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CoxHealth at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.