Crown Hospice of Poplar Bluff, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CROWN HOSPICE OF POPLAR BLUFF, LLC

Doing business as

Crown Hospice

Practice address

1125 Herschel Bess Blvd Ste 1
Poplar Bluff, MO 63901-3073

Phone

(573) 840-5029

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Timothy Winters

Title

President

Phone

(918) 492-6440

Specialties & licenses 1

Addresses

Other names 1

• Crown Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821648684. Details of each certification follow.

• CCN 261681 Hospice · Active · Details

Hospice certification: CCN 261681

Legal name

CROWN HOSPICE OF POPLAR BLUFF, LLC

Doing business as

CROWN HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 25, 2020

Last certification

Feb 25, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Sep 11, 2019 in MO

Enrollment address

1125 Herschel Bess Blvd
Ste 1
Poplar Bluff, MO 63901-3073

Listed as

Crown HospiceCCN 261681 · All quality measures

Ownership

For-Profit

Certified

Feb 25, 2020

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Stephen Nagy, M.D.

  • Internal Medicine Physician
  • Poplar Bluff, MO
  • NPI 1528012010

  Other

  CMS ownership

Affiliated clinicians 3

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

• Reza Jalal, MD

  • Internal Medicine Physician
  • Dexter, MO
  • NPI 1578528618

  Hospice

  Care Compare affiliation
• Seth Tyler Koehler, D.O.

  • Family Medicine Physician
  • Jackson, MO
  • NPI 1255782843

  Hospice

  Care Compare affiliation
• Stephen Nagy, M.D.

  • Internal Medicine Physician
  • Poplar Bluff, MO
  • NPI 1528012010

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1821648684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 HERSCHEL BESS BLVD STE 1",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013073",
            "telephone_number": "573-840-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 HERSCHEL BESS BLVD STE 1",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013073",
            "telephone_number": "573-840-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN HOSPICE OF POPLAR BLUFF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-492-6440"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crown Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Crites
• Vivian Jean Crites, RN, FNP-BC
• Andrea Cross, PT
• Richard Scott Crouse, FNP
• Monique Crowley, LCSW
• Mike Crunk
• Corey Craig Crutchfield I, LCSW
• Noah J Crutchfield
• Vener Lanting Cuevas
• Christina J Cunningham, MS

• Community Based Hospice Care Agency in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Community Based Hospice Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.