NPIMap

Organization Active NPI

Serve Link Home Care, Inc.

  • Home Health Agency
  • Trenton, MO
National Provider Identifier
1821150343
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
57-22 Issued in MO
Legal business name
SERVE LINK HOME CARE, INC.
Practice address
1510 E 9TH St
Trenton, MO 64683-2632
Phone
(660) 359-4218
Fax
(660) 359-2134
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Kassie Rae Hodge
Title
Ceo
Phone
(666) 359-4218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 57-22 MO Primary

Addresses

Primary practice location

1510 E 9TH St
Trenton, MO 64683-2632

Mailing address

1510 E. 9TH St.
P.O. Box 308
Trenton, MO 64683
Phone (660) 359-4218

Other identifiers 1

IdentifierTypeStateIssuer
580620300MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070529000393 MO Part A Provider - Home Health Agency 6305943226 Practice locations: Trenton, MO

Home health agency certification: CCN 267062

Legal name
SERVE LINK HOME CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 15, 1975
Last certification
May 2, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jul 9, 1973 in MO
Enrollment address
1510 E 9TH St
Trenton, MO 64683-2632

Care Compare: Home health agency

Medicare Care Compare
Listed as
Serve Link Home Care, IncCCN 267062
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Sep 15, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Locations

219 W Helm St
Brookfield, MO 64628
Phone (660) 258-7871

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Phyllis Johnson Individual Corporate DirectorBoard Member Dec 1, 2021
Jennifer White Individual Corporate OfficerExecutive Dir/Ceo Aug 22, 2025 50%
Kayla Ann Michael Individual Corporate DirectorBoard Member Jul 1, 2020
Phyllis Jackson Individual Corporate OfficerSecretary/Treasurer Jul 1, 2022
Kent J Peterson Individual Corporate OfficerPresident Jul 1, 2019
Corporate DirectorBoard Member Jul 1, 2015
Laura L Kimble Individual Corporate OfficerVice President Jul 1, 2022
Linda McElwee Individual Corporate DirectorBoard Member Jul 1, 2021
Kassie R Hodge Individual Corporate OfficerCeo Aug 25, 2022
W-2 Managing EmployeeCeo/Director Aug 25, 2022
Operational/Managerial ControlCeo Aug 25, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1821150343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E. 9TH ST.",
            "address_2": "P.O. BOX 308",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "64683",
            "telephone_number": "660-359-4218",
            "fax_number": "660-359-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E 9TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832632",
            "telephone_number": "660-359-4218",
            "fax_number": "660-359-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVE LINK HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "KASSIE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "666-359-4218"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "57-22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580620300",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MO

Sources for this page

Verify at the official NPI Registry.