Howard County Home Health and Hospice
Organization Active NPI Home Health Agency · Fayette, MO
NPI 1861496531 · NPPES record last updated Sep 3, 2013
Key facts
- NPI
- 1861496531
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 106-22 (MO)
- Legal business name
- HOWARD COUNTY HOME HEALTH AND HOSPICE
- Practice address
- 101 Furr Street
Fayette, MO 65248-1069 - Phone
- (660) 248-2100
- Fax
- (660) 248-3347
- NPI assigned
- Jun 9, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Serese M Wiehardt, RN BSN CHCE
- Title
- Ceo
- Phone
- (660) 248-2100
Owners & managing parties with NPI records 1
-
Hope I Tinker, MD
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Affiliated clinicians 10
-
Mona L Brownfield, M.D.
-
Kevin Gary Frazer, M.D.
-
Melinda Carol Hart, FNP
-
Betty Anne Noll, M.D.
-
Richard Lee Smith, M.D.
-
Kayla Strodtman, FNP
-
Aaron Joseph Whiting, M.D.
-
Leann Elizabeth Williams, FNP-BC
Medicare Care Compare: Home health agency
- Listed as
- Hometown Homecare
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Non-Profit
- Certified
- Sep 10, 1969
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Home health agency certification: CCN 267032
- Legal name
- HOWARD COUNTY HOME HEALTH AND HOSPICE
- Doing business as
- HOMETOWN HOMECARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 10, 1969
- Last certification
- Oct 2, 2019
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 22, 1984 in MO
- Enrollment address
- 101 Furr St
Fayette, MO 65248-1069
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Betty Cook |
Corporate Officer |
May 18, 2022 | |
| Shannon Griffy |
Corporate Officer |
Dec 12, 2022 | |
| Mark Harbison |
Corporate Director |
Mar 23, 2021 | |
| Hope Irene Tinker |
W-2 Managing Employee |
Jan 1, 2024 | |
| Carol Norman |
Corporate Director |
Jun 11, 2019 | |
| Stephen Murrell |
Corporate Director |
Nov 13, 2023 | |
| Maryann Rustemeyer |
Corporate Director |
Apr 16, 2019 | |
| Melissa Hicks |
Corporate Officer |
Nov 13, 2014 | |
| Krista Cravens |
Corporate Officer |
Sep 1, 2013 | |
| Denise Haskamp |
Corporate Officer |
May 13, 2015 | |
| W-2 Managing Employee | Jan 1, 2024 | ||
| Serese M Wiehardt |
Corporate Officer |
Aug 24, 1984 | |
| W-2 Managing Employee |
Nov 1, 1979 | ||
| Jennifer L Dressler |
Corporate Officer |
Jun 16, 2005 | |
| Logan L Comegys |
Corporate Officer |
Dec 12, 2022 | |
| Jill Wiseman |
Corporate Director |
May 19, 2020 | |
| Dina M Haskamp-Polson |
Corporate Officer |
Jun 16, 2005 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040122000540 | MO | Part a Provider - Home Health Agency | 5597667352 | Practice locations: Fayette, MO |
National Provider Directory
- Tax ID family
- Hometown Homecare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 106-22 | MO | Yes |
Addresses
Primary practice location
101 Furr Street
Fayette, MO 65248-1069
Mailing address
101 Furr Street
Fayette, MO 65248-1069
Phone (660) 248-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 580562908 | Medicaid | MO | |
| 32123 | Other | MO | BLUE CROSS |
| 39282 | Other | MO | HEALTHCARE USA |
Other names
- Hometown Homecare
Other providers in Fayette, MO
- Nathan Reed Hepner
- Howard County Ambulance District
- Howard County Commission
- Howard County Home Health and Hospice
- Howard County Home Health and Hospice
- Howard County Sheltered Services Board
- Jordan Jenkins
- John Fitzgibbon Memorial Hospital Inc
- Just What the Doctor Ordered
- Jacob Ryan Kent
All providers in Fayette, MO · Home Health Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.