Cox HPS of the Ozarks, Inc.
Organization Active NPI Community Based Hospice Care Agency · Springfield, MO
NPI 1679527238 · NPPES record last updated Apr 12, 2024
Key facts
- NPI
- 1679527238
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- COX HPS OF THE OZARKS, INC.
- 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
- Organization subpart
- Yes
- Parent organization (as reported)
- COX HPS OF THE OZARKS, INC.
Authorized official
- Name
- David Raney
- Title
- Vice President
- Phone
- (417) 269-4663
Owners & managing parties with NPI records 1
-
Brian K Clonts, M.D.
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 2
Member of 1
Facilities with the same owner 24
Practitioners 6
-
Stacy Jo Owens, NP-C
-
Joan Ramsey, AGNP
-
Stacy Lynn Shinn, APRN
-
Brian K Clonts, M.D.
-
Melissa A Gaines, MD
-
Ibrahim Abdalla, M.D.
Affiliated clinicians 12
-
Sheri Lynn Bethmann, D.O.
-
Brian K Clonts, M.D.
-
Melissa A Gaines, MD
-
Allison A Heider, MD
-
Nabil S. Kamel, M.D.
-
William C Moore, MD
-
Jaclyn Pohlers, DO
-
Stephen M Reeder, MD
-
Donna M Roberts, MD
-
William K Rosen, M.D.
-
Ovais Zubair, M.D.
Medicare Care Compare: Hospice
- Listed as
- Coxhealth at Home
- Ownership
- Non-Profit
- Certified
- Dec 22, 2006
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
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
- Corporation · Non-profit
- Incorporated
- May 6, 1993 in MO
- Enrollment address
- 2240 W Sunset St
Ste 104
Springfield, MO 65807-6041
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Brian Clonts |
Contracted Managing Employee |
Jun 2, 2016 | |
| Max Buetow |
Corporate Officer |
May 1, 2022 | |
| Sara L. Hargis |
Corporate Director |
Oct 1, 2019 | |
| Larry W Lipscomb |
Corporate Director |
Oct 1, 2023 | |
| Brad E Erwin |
Corporate Director |
Oct 1, 2023 | |
| Vickie Nelson |
Corporate Officer |
Oct 1, 2019 | |
| Kirsten Parks |
W-2 Managing Employee |
Dec 22, 2020 | |
| Kimberly S Sisk |
W-2 Managing Employee |
Mar 1, 2020 | |
| Jefferson M Tynes |
Corporate Director |
Oct 1, 2021 | |
| David Raney |
W-2 Managing Employee |
Feb 26, 2024 | |
| Jacob M McWay |
Corporate Officer |
Oct 1, 2019 | |
| Stacy Faulconer |
W-2 Managing Employee |
May 21, 2023 | |
| Hal Lynn Higdon |
Corporate Director |
Oct 1, 2019 | |
| Kurt D Hellweg |
Corporate Director |
Oct 1, 2025 | |
| Coxhealth |
Operational/Managerial Control | Oct 1, 2019 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2019 | Change of Ownership |
Coxhealth at Home |
| Oct 1, 2019 | Change of Ownership |
Coxhealth at Home |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191025000514 | MO | Part a Provider - Hospice | 9032237607 | Practice locations: Springfield, MO; Branson, MO |
National Provider Directory
- Tax ID family
- Cox HPS of the Ozarks
- Part of
- Cox HPS of the Ozarks
Locations
2902 Arizona Ave
Ste 2
Joplin, MO 64804
Phone (417) 782-0111
2240 W Sunset St
Springfield, MO 65807
Phone (417) 269-4663
2220 W Sunset St
Springfield, MO 65807
Phone (417) 887-7525
1625 Gibson Ave
West Plains, MO 65775
Phone (417) 256-3717
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 826307803 | Medicaid | MO |
Other names
- CoxHealth at Home
Other providers in Springfield, MO
- Covenant Counseling LLC
- Grace Elizabeth Cowan
- Grace Cowley
- Cox Health
- Cox HPS of the Ozarks, Inc.
- Cox HPS of the Ozarks, Inc.
- Cox Walnut Lawn Pharmacy
- Brandi Cox
- Brandon Blake Cox
- Brittni Cox
All providers in Springfield, MO · Community Based Hospice Care Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.