Organization Active NPI

Omega Health Care of Southwest Missouri Inc

  • Community Based Hospice Care Agency
  • Springfield, MO
National Provider Identifier
1710159355
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
OMEGA HEALTH CARE OF SOUTHWEST MISSOURI INC
Practice address
2041 S Stewart Ave
Springfield, MO 65804-2522
Phone
(417) 886-6995
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Russell Leo Rogers
Title
Owner
Phone
(913) 814-7105

Specialties & licenses 1

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

Addresses

Primary practice location

2041 S Stewart Ave
Springfield, MO 65804-2522

Mailing address

7520 W 160TH St
Stilwell, KS 66085-8100
Phone (417) 886-6995

Other identifiers 1

IdentifierTypeStateIssuer
825857709MedicaidMO

National Provider Directory

National Provider Directory

Locations

2041 S Stewart Ave
Springfield, MO 65804
Phone (417) 886-6995

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710159355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 W 160TH ST",
            "city": "STILWELL",
            "state": "KS",
            "postal_code": "660858100",
            "telephone_number": "417-886-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 S STEWART AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042522",
            "telephone_number": "417-886-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HEALTH CARE OF SOUTHWEST MISSOURI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-814-7105"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825857709",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.