NPIMap

Organization Active NPI

Harrison County Health Department & Harrison County Home Health

  • Community Based Hospice Care Agency
  • Bethany, MO
National Provider Identifier
1700950573
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
051-14HO Issued in MO
Legal business name
HARRISON COUNTY HEALTH DEPARTMENT & HARRISON COUNTY HOME HEALTH
Practice address
1700 Bethany Avenue
Bethany, MO 64424-0425
Phone
(660) 425-8319
Fax
(660) 425-6939
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Courtney Jo Cross
Title
Administrator
Phone
(660) 425-6324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 051-14HO MO Primary

Addresses

Primary practice location

1700 Bethany Avenue
Bethany, MO 64424-0425

Mailing address

1700 Bethany Ave
Bethany, MO 64424-8363
Phone (660) 425-8319

Other identifiers 2

IdentifierTypeStateIssuer
821416005MedicaidMO
91199012OtherMOBCBS PROVIDER NUMBER

Other names 1

  • Harrison County Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030515000068 MO Part A Provider - Hospice 1557271012 Practice locations: Bethany, MO

Hospice certification: CCN 261541

Legal name
HARRISON COUNTY HEALTH DEPARTMENT & HARRISON COUNTY HOME HEALTH
Doing business as
HARRISON COUNTY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 1, 1993
Last certification
Oct 31, 2019
Ownership / control type
Government - County
Organization structure
GovernmentNon-profit
Enrollment address
1700 Bethany Ave
Bethany, MO 64424-8363

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
Harrison County HospiceCCN 261541
Ownership
Government
Certified
Dec 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file

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
26D0652270Harrison County Health Dept & Hospice1700 Bethany Avenue, Bethany, MO 64424Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Harrison County Health Department3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Brian Carter Individual Corporate DirectorBoard of Trustees Chairperson Apr 1, 2021 100%
Courtney J Cross Individual W-2 Managing EmployeeAdministrator Jan 6, 2014 100%
Harrison County Health Department & Harrison County Home Health Organization, Bethany, MO Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 1993 100%
Gregory Alan Dean Individual Contracted Managing EmployeeMedical Director Mar 20, 2024 100%

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Harrison County Home Health & HospiceBethany, MO, CCN 267560 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 6, 2022

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1700950573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BETHANY AVE",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644248363",
            "telephone_number": "660-425-8319",
            "fax_number": "660-425-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BETHANY AVENUE",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644240425",
            "telephone_number": "660-425-8319",
            "fax_number": "660-425-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON COUNTY HEALTH DEPARTMENT & HARRISON COUNTY HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-425-6324"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "051-14HO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821416005",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "91199012",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison County Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethany, MO

Sources for this page

Verify at the official NPI Registry.