NPIMap

Organization Active NPI

Ozarks Regions Health Systems

Doing business as St. John's Home Health Shell Knob

  • Home Health Agency
  • Shell Knob, MO
National Provider Identifier
1821167420
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
285-16 Issued in MO
Legal business name
OZARKS REGIONS HEALTH SYSTEMS
Doing business as
St. John's Home Health Shell Knob
Practice address
Timberoc Village Ste 204
Shell Knob, MO 65744
Phone
(870) 423-5257
NPI assigned
Nov 7, 2006
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Kristy Noble
Title
President
Phone
(870) 423-5257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 285-16 MO Primary

Addresses

Primary practice location

Timberoc Village Ste 204
Shell Knob, MO 65744

Mailing address

214 Carter St
Berryville, AR 72616-4303
Phone (870) 423-5257

Other identifiers 1

IdentifierTypeStateIssuer
820569705MedicaidMO

Other names 1

  • St. John's Home Health Shell Knob Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital Berryville5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1821167420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CARTER ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164303",
            "telephone_number": "870-423-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TIMBEROC VILLAGE STE 204",
            "city": "SHELL KNOB",
            "state": "MO",
            "postal_code": "65744",
            "telephone_number": "870-423-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS REGIONS HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-423-5257"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "285-16",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820569705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Home Health Shell Knob",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shell Knob, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.