NPIMap

Organization Active NPI

Harbor Hospice of Missouri LP

  • Community Based Hospice Care Agency
  • Independence, MO
National Provider Identifier
1821471400
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARBOR HOSPICE OF MISSOURI LP
Practice address
4911 S Arrowhead Dr Ste 101
Independence, MO 64055-7014
Phone
(816) 600-6388
Fax
(816) 600-6428
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Karen Carter
Title
Exec Admin Asst
Phone
(409) 730-2046

Specialties & licenses 1

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

Addresses

Primary practice location

4911 S Arrowhead Dr Ste 101
Independence, MO 64055-7014

Mailing address

PO Box 12686
Beaumont, TX 77726-2686
Phone (409) 813-2332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160115002307 MO Part A Provider - Hospice 3476856907 Practice locations: Independence, MO

Hospice certification: CCN 261674

Legal name
HARBOR HOSPICE OF MISSOURI LP
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 27, 2018
Last certification
Nov 18, 2021
Ownership / control type
Proprietary - Partnership
Organization structure
PartnershipProprietary
Incorporated
Jun 2, 2015 in TX
Enrollment address
4911 S Arrowhead Dr
Ste 101
Independence, MO 64055-7014

Care Compare: Hospice

Medicare Care Compare
Listed as
Harbor Hospice of Missouri, LPCCN 261674
Ownership
For-Profit
Certified
Mar 27, 2018
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

211 SE Grand Ave
Ste A
Lees Summit, MO 64063

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Karen Carter Individual W-2 Managing Employee Feb 1, 2019
Bryan Gaspard Individual W-2 Managing EmployeeExecutive VP of Operations Jun 5, 2015
Arfeen Properties, L.P. Organization, Beaumont, TX For-profit 5% Or Greater Direct Ownership Interest Jun 2, 2015 99%
Limited Partnership Interest Jun 2, 2015 99%
HHCS Managers LLC Organization, Beaumont, TX For-profit General Partnership Interest Jun 5, 2015 1%
Qamar U Arfeen Individual 5% Or Greater Indirect Ownership InterestLimited Partner Jun 5, 2015 50%
Kelley L Arfeen Individual 5% Or Greater Indirect Ownership InterestLimited Partner Jun 5, 2015 50%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 45

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 45

Practitioners & affiliated clinicians

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1821471400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12686",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777262686",
            "telephone_number": "409-813-2332",
            "fax_number": "409-232-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 S ARROWHEAD DR STE 101",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557014",
            "telephone_number": "816-600-6388",
            "fax_number": "816-600-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOSPICE OF MISSOURI LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXEC ADMIN ASST",
        "authorized_official_telephone_number": "409-730-2046"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.