Organization Active NPI

N&Co Homecare LLC

Doing business as HomeCare of Mid Missouri Hospice

  • Community Based Hospice Care Agency
  • Moberly, MO
National Provider Identifier
1811020050
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
N&CO HOMECARE LLC
Doing business as
HomeCare of Mid Missouri Hospice
Practice address
102 West Reed Street
Moberly, MO 65270-1555
Phone
(660) 263-1517
Fax
(660) 263-2737
NPI assigned
Mar 14, 2007
Last updated
Aug 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Angela D Sipe
Title
Chairman of the Board
Phone
(630) 709-5881

Specialties & licenses 1

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

Addresses

Primary practice location

102 West Reed Street
Moberly, MO 65270-1555

Mailing address

102 West Reed Street
Moberly, MO 65270-1555
Phone (660) 263-1517

Other identifiers 5

IdentifierTypeStateIssuer
237405893OtherMERCY HEALTH PLANS
821684701MedicaidMO
32076OtherMOBLUE CHOICE
12938OtherMOBCBS
237405893OtherTRICARE

Other names 1

  • HomeCare of Mid Missouri Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

102 W Reed St
Moberly, MO 65270
Phone (660) 263-1517

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2021 Change of OwnershipThis provider was the seller St Croix HospiceCCN 261570, MO, NPI 1851963391

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1811020050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WEST REED STREET",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652701555",
            "telephone_number": "660-263-1517",
            "fax_number": "660-263-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WEST REED STREET",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652701555",
            "telephone_number": "660-263-1517",
            "fax_number": "660-263-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N&CO HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "SIPE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "630-709-5881"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLANS",
            "identifier": "237405893",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821684701",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "32076",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12938",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "237405893",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeCare of Mid Missouri Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HomeCare of Mid Missouri Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moberly, MO

Sources for this page

Verify at the official NPI Registry.