NPIMap

Organization Active NPI

Hemphill County Hospital District

Doing business as Hemphill County Hospital Home Health

  • Home Health Agency
  • Canadian, TX
National Provider Identifier
1699772301
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
002219 Issued in TX
Legal business name
HEMPHILL COUNTY HOSPITAL DISTRICT
Doing business as
Hemphill County Hospital Home Health
Practice address
1020 S 4TH St
Canadian, TX 79014-3315
Phone
(806) 323-6422
Fax
(806) 323-8109
NPI assigned
Jul 7, 2005
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Christy M Francis
Title
Administrator
Phone
(806) 323-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 002219 TX Primary

Addresses

Primary practice location

1020 S 4TH St
Canadian, TX 79014-3315

Mailing address

1020 S 4TH St
Canadian, TX 79014-3315
Phone (806) 323-6422

Other identifiers 2

IdentifierTypeStateIssuer
002219OtherTXSTATE LICENSE NUMBER
024612601MedicaidTX

Other names 1

  • Hemphill County Hospital Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120117000391 TX Part A Provider - Home Health Agency 4587652078 Practice locations: Canadian, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699772301. Details of each certification follow.

Home health agency certification: CCN 677427

Legal name
HEMPHILL COUNTY HOSPITAL DISTRICT
Doing business as
HEMPHILL COUNTY HOSPITAL HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 12, 1991
Last certification
Sep 30, 2021
Ownership / control type
Proprietary
Organization structure
OtherNon-profit
Enrollment address
210 E Purcell Ave
Canadian, TX 79014-3315
HHA Branch

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hemphill County Hospital Home Health AgencyCCN 677427 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Aug 12, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0717533Hemphill Co Hosp Home Health Agency210 E Purcell Ave, Canadian, TX 79014Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hemphill Cnty Hosp Dist11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

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.

NameRoleSinceShare
Hemphill County Hospital District Organization, Canadian, TX 5% Or Greater Direct Ownership Interest Mar 1, 2012 100%
Operational/Managerial Control Mar 1, 2012
Kelsey Jo Haley Individual Corporate OfficerCeo Jan 1, 2024
Corporate DirectorCeo Jan 1, 2024
W-2 Managing EmployeeCeo Jan 1, 2024

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hemphill County HospitalCanadian, TX, CCN 671301 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 17, 2023
Mar 17, 2023
Hemphill County HospitalCanadian, TX, CCN 67Z301 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 17, 2023
Mar 17, 2023
Windflower Health CenterAmarillo, TX, CCN 675904 Skilled nursing facility Operational/Managerial Control Feb 28, 2015
Hemphill County HospiceCanadian, TX, CCN 451603 Hospice Operational/Managerial Control (100%) Feb 20, 2012
Canadian Family PhysiciansCanadian, TX, CCN 673459 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 1, 2014
Jun 1, 2014
Harvester Family Medical ClinicPampa, TX, CCN 673458 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2016
Jan 1, 2016

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1699772301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S 4TH ST",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143315",
            "telephone_number": "806-323-6422",
            "fax_number": "806-323-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S 4TH ST",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143315",
            "telephone_number": "806-323-6422",
            "fax_number": "806-323-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMPHILL COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-323-6422"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "002219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "002219",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024612601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hemphill County Hospital Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hemphill County Hospital Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canadian, TX

Sources for this page

Verify at the official NPI Registry.