NPIMap

Organization Active NPI

Cozad Community Hospital

Doing business as Central Plains Hospice

  • Community Based Hospice Care Agency
  • Cozad, NE
National Provider Identifier
1801838800
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HOSPICE 6 Issued in NE
Legal business name
COZAD COMMUNITY HOSPITAL
Doing business as
Central Plains Hospice
Practice address
835 Meridian Ave
Cozad, NE 69130-1754
Phone
(308) 784-4630
Fax
(308) 784-4635
NPI assigned
Jun 12, 2006
Last updated
Jul 8, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COZAD COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Robert J Dyer
Title
Ceo
Phone
(308) 784-2261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HOSPICE 6 NE Primary

Addresses

Primary practice location

835 Meridian Ave
Cozad, NE 69130-1754

Mailing address

PO Box 207
Cozad, NE 69130-0207
Phone (308) 784-4630

Other identifiers 2

IdentifierTypeStateIssuer
00289OtherNEBCBS OF NE PROV #
10025137800MedicaidNE

Other names 1

  • CENTRAL PLAINS HOSPICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050303001046 NE Part B Supplier - Clinic/Group Practice 6507810389 Receives reassigned benefits from 16 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cozad, NE
O20070323000140 NE Part A Provider - Hospice 6507810389 Practice locations: Cozad, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801838800. Details of each certification follow.

Hospice certification: CCN 281516

Legal name
COZAD COMMUNITY HOSPITAL
Doing business as
CENTRAL PLAINS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 5, 1995
Last certification
Jan 10, 2020
Ownership / control type
Non-Profit - Other
Organization structure
OtherNon-profit
Enrollment address
835 Meridian Ave
Cozad, NE 69130-1754

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Central Plains HospiceCCN 281516 · All quality measures
Ownership
Combination Government & Non-Profit
Certified
Apr 5, 1995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Cozad Community Hospital

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Robert J Dyer Individual Corporate OfficerCeo Feb 8, 2022
W-2 Managing EmployeeCeo Feb 8, 2022
Operational/Managerial ControlCeo Feb 8, 2022
Matthew D Burkholder Individual Corporate Officer May 23, 2006
Corporate Director Feb 28, 2006
Wendy Lynn Thome Individual W-2 Managing EmployeeHospice Director Nov 18, 2011
Operational/Managerial ControlHospice Director Nov 18, 2011
Cynthia M Finnegan Individual Corporate Director May 22, 2018
Alan J Svajgr Individual Corporate Director May 25, 2010
Linda R Benjamin Individual Corporate Officer Jun 24, 2014
Corporate Director Dec 17, 2013
Bill C Wilkinson Individual Corporate Officer Jun 23, 2022
Corporate Director May 22, 2018
Stephen G Nemeth Individual W-2 Managing EmployeeHospice Medical Director Apr 24, 2009
Operational/Managerial ControlHospice Medical Director Apr 24, 2009
Lisa M Hunke Individual W-2 Managing EmployeeCfo May 1, 2001
Operational/Managerial ControlCfo May 1, 2001

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

Affiliated clinicians 6

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": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1801838800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691300207",
            "telephone_number": "308-784-4630",
            "fax_number": "308-784-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 MERIDIAN AVE",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301754",
            "telephone_number": "308-784-4630",
            "fax_number": "308-784-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COZAD COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COZAD COMMUNITY HOSPITAL",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-784-2261"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NE",
            "license": "HOSPICE 6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NE PROV #",
            "identifier": "00289",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025137800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL PLAINS HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRAL PLAINS HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cozad, NE

Sources for this page

Verify at the official NPI Registry.