NPIMap

Organization Active NPI

Saint Lukes Hospice of Leavenworth LLC

  • Community Based Hospice Care Agency
  • Leavenworth, KS
National Provider Identifier
1851332639
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SAINT LUKES HOSPICE OF LEAVENWORTH LLC
Practice address
920 6TH Ave
Leavenworth, KS 66048-3225
Phone
(913) 758-9034
NPI assigned
Jun 10, 2006
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Lisa H Havenhill
Title
Vice President
Phone
(816) 599-9226

Specialties & licenses 1

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

Addresses

Primary practice location

920 6TH Ave
Leavenworth, KS 66048-3225

Mailing address

3100 Broadway St
Kansas City, MO 64111-2658
Phone (816) 360-8010

Other identifiers 1

IdentifierTypeStateIssuer
100088000DMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4 Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061215000517 KS Part A Provider - Hospice 9234138496 Practice locations: Leavenworth, KS; Ottawa, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851332639. Details of each certification follow.

Hospice certification: CCN 171509

Legal name
SAINT LUKES HOSPICE OF LEAVENWORTH LLC
Doing business as
HOSPICE OF LEAVENWORTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 14, 1992
Last certification
Jun 1, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
LLCNon-profit
Incorporated
Nov 22, 2006 in MO
Enrollment address
1001 6TH Ave
Ste 125
Leavenworth, KS 66048-3222

Care Compare: Hospice

Medicare Care Compare
Listed as
Saint Lukes Hospice of Leavenworth, LLCCCN 171509 · All quality measures
Ownership
Other
Certified
Jan 14, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Saint Lukes Hospice of Leavenworth2 organizations share this tax ID, including this one
Part of
Saint Luke's Health System Home Care and Hospice

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1302 S Main St
Ste 2
Ottawa, KS 66067
Phone (785) 448-2753

3100 Broadway Blvd
Kansas City, MO 64111
Phone (816) 285-8054

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Lisa H Havenhill Individual Corporate OfficerChief Financial Officer Post Acute Jan 1, 2007 100%
W-2 Managing EmployeeCfo Jan 1, 2007
Peter S Holt Individual Corporate OfficerBoard President Jan 1, 2023
Corporate DirectorBoard Member Jun 1, 2016
Saint Lukes Health System Inc Organization, Kansas City, MO Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2007 100%
Operational/Managerial Control Jan 1, 2007 100%
Amy M Nachtigal Individual Corporate OfficerCfo, SLHS Central Region Jan 1, 2023
Operational/Managerial ControlCfo, SLHS Central Region Jan 1, 2023
Angela Locke Individual Corporate DirectorBoard Member Jan 1, 2023
BJC Health System Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2024 100%
Denise Mogg Individual Corporate OfficerBoard Vice President Jan 1, 2023
Corporate DirectorBoard Member Jun 15, 2020
Jennifer Dawn Keil Individual W-2 Managing EmployeeHospice Director Feb 1, 2018
Julie Quirin Individual Corporate OfficerSLHS President Jan 1, 2024
Jamie Allen Individual Corporate DirectorBoard Member Jan 1, 2023
Saint Luke's Health System Home Care and Hospice Organization, Kansas City, MO Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2007 100%
Gina E Lawson Individual Corporate DirectorBoard Member Jan 1, 2023
Julie a Solomon Individual Corporate DirectorBoard Member Jan 1, 2023
Lisa Chase Individual Corporate DirectorBoard Member Jan 1, 2023
Christopher E Beal Individual Corporate DirectorBoard Member Jan 1, 2023
Anita Brennan Individual Corporate DirectorVP, Patient Progression Nov 16, 2023
Operational/Managerial ControlVP, Patient Progression Nov 16, 2023
Jamila M Weaver Individual Corporate DirectorBoard Member Jan 1, 2023

Owners & managing parties with NPI records 5

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

Facilities with the same owner 33

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

View all 33

Practitioners & affiliated clinicians

Affiliated clinicians 6

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

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1851332639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112658",
            "telephone_number": "816-360-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 6TH AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483225",
            "telephone_number": "913-758-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES HOSPICE OF LEAVENWORTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "HAVENHILL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "816-599-9226"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088000D",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "920 6th Ave",
            "city": "Leavenworth",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660483225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.