NPIMap

Organization Active NPI

Howard County Home Health and Hospice

Doing business as Hometown Homecare

  • Home Health Agency
  • Fayette, MO
National Provider Identifier
1861496531
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
106-22 Issued in MO
Legal business name
HOWARD COUNTY HOME HEALTH AND HOSPICE
Doing business as
Hometown Homecare
Practice address
101 Furr Street
Fayette, MO 65248-1069
Phone
(660) 248-2100
Fax
(660) 248-3347
NPI assigned
Jun 9, 2005
Last updated
Sep 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Ms. Serese M Wiehardt, RN BSN CHCE
Title
Ceo
Phone
(660) 248-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 106-22 MO Primary

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 names 1

  • Hometown Homecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000540 MO Part A Provider - Home Health Agency 5597667352 Practice locations: Fayette, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861496531. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Feb 22, 1984 in MO
Enrollment address
101 Furr St
Fayette, MO 65248-1069
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hometown HomecareCCN 267032 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Sep 10, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Hometown Homecare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

101 Furr St
Fayette, MO 65248
Phone (660) 248-2100

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Betty Cook Individual Corporate OfficerVice President - Zone 4 May 18, 2022
Shannon Griffy Individual Corporate OfficerVice President - Private Duty Dec 12, 2022
Mark Harbison Individual Corporate DirectorSecretary Mar 23, 2021
Hope Irene Tinker Individual W-2 Managing EmployeeMD; Jan 1, 2024
Carol Norman Individual Corporate DirectorMember Jun 11, 2019
Stephen Murrell Individual Corporate DirectorMember Nov 13, 2023
Maryann Rustemeyer Individual Corporate DirectorVice President Apr 16, 2019
Melissa Hicks Individual Corporate OfficerVice President - Zone 2 Nov 13, 2014
Krista Cravens Individual Corporate OfficerVice President - Zone 1 Sep 1, 2013
Denise Haskamp Individual Corporate OfficerChief Financial Officer May 13, 2015
W-2 Managing Employee Jan 1, 2024
Serese M Wiehardt Individual Corporate OfficerCeo Aug 24, 1984
W-2 Managing EmployeeCeo Nov 1, 1979
Jennifer L Dressler Individual Corporate OfficerVice President - Therapy Coord Jun 16, 2005
Logan L Comegys Individual Corporate OfficerVice President - Ethics,Crisis MGMT Dec 12, 2022
Jill Wiseman Individual Corporate DirectorTreasurer May 19, 2020
Dina M Haskamp-Polson Individual Corporate OfficerVice President - Patient Care Jun 16, 2005

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1861496531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FURR STREET",
            "city": "FAYETTE",
            "state": "MO",
            "postal_code": "652481069",
            "telephone_number": "660-248-2100",
            "fax_number": "660-248-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FURR STREET",
            "city": "FAYETTE",
            "state": "MO",
            "postal_code": "652481069",
            "telephone_number": "660-248-2100",
            "fax_number": "660-248-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD COUNTY HOME HEALTH AND HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "WIEHARDT",
        "authorized_official_first_name": "SERESE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-248-2100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BSN CHCE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "106-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayette, MO

Sources for this page

Verify at the official NPI Registry.