North Kansas City Hospital Home Health, LLC
Organization Active NPI Home Health Agency · North Kansas City, MO
NPI 1760246151 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1760246151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- NORTH KANSAS CITY HOSPITAL HOME HEALTH, LLC
- Practice address
- 2800 Clay Edwards Dr
North Kansas City, MO 64116-3220 - Phone
- (816) 691-2000
- NPI assigned
- Feb 7, 2024
- Organization subpart
- No
Authorized official
- Name
- Everett Neal
- Title
- President
- Phone
- (937) 299-1111
Change of ownership 1
Facilities with the same owner 20
Practitioners 1
-
Roy Kent Oyer, D.O.
Affiliated clinicians 33
-
Avery Thomas Abernathy, D.O.
-
Samin Akhtar, MD
-
John Campobasso, DO
-
Adrian Omar Chen, MD
-
Michael Crim, D.O.
-
Sara Deffenbaugh, MD
-
Jeffrey J. Dyer, M.D.
-
Jason Mathew Goergen, D.O.
-
Nathan D Granger, MD
-
Ryan L Huyser, M.D.
-
Scott H Kuennen, MD
-
Crystal D Lagalle, D.O.
Medicare Care Compare: Home health agency
- Listed as
- North Kansas City Hospital Home Health Services
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Government Operated
- Certified
- Sep 14, 1994
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Home health agency certification: CCN 267462
- Legal name
- NORTH KANSAS CITY HOSPITAL HOME HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 14, 1994
- Last certification
- Feb 6, 2020
- Ownership / control type
- Government Operated
- Organization structure
- LLC · Proprietary
- Enrollment address
- 2750 Clay Edwards Dr
Ste 604
North Kansas City, MO 64116-3258
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Alternate Solutions Holdings Inc |
5% Or Greater Indirect Ownership Interest | May 14, 2024 | 32.3% |
| Everett Neal |
Corporate Officer |
May 14, 2024 | |
| Ashn Midco LLC |
5% Or Greater Indirect Ownership Interest | May 14, 2024 | 60% |
| NKHC Home Health Holdings LLC |
5% Or Greater Direct Ownership Interest | May 14, 2024 | 100% |
| Alternate Solutions Health Network LLC |
5% Or Greater Indirect Ownership Interest | May 14, 2024 | 60% |
| Tisha Thomas |
W-2 Managing Employee |
May 14, 2024 | |
| General Atlantic (As) Collections LP |
5% Or Greater Indirect Ownership Interest | May 14, 2024 | 22.9% |
| Ashn Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 14, 2024 | 60% |
| The Warren D. Ganzsarto Amended Revocable Living Trust |
5% Or Greater Indirect Ownership Interest | May 14, 2024 | 30.27% |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| May 14, 2024 | Change of Ownership |
North Kansas City Hospital Home Health |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240320003231 | MO | Part a Provider - Home Health Agency | 8426495896 | Practice locations: North Kansas City, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Mailing address
1050 Forrer Blvd
Kettering, OH 45420-3640
Phone (937) 299-1111
Other providers in North Kansas City, MO
- North Kansas City Hospital
- North Kansas City Hospital
- North Kansas City Hospital
- North Kansas City Hospital
- North Kansas City Hospital
- North Kansas City Sleep Therapy, LLC
- Northland Adult Day Center LLC
- Northland Anesthesiology Inc
- Northland Bone & Joint, Inc
- Northland General Surgery, PC
All providers in North Kansas City, MO · Home Health 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 Feb 7, 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.