Organization Active NPI

Horizon Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Faith, SD
National Provider Identifier
1912972712
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HORIZON HEALTH CARE INC
Practice address
112 N 2ND Ave W
Faith, SD 57626-0577
Phone
(605) 967-2644
Fax
(605) 967-2844
NPI assigned
Feb 23, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
John Mengenhausen, CEO
Title
Authorized Official Ceo
Phone
(605) 772-4525

Owners & managing parties with NPI records 18

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

View all 18

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

Other NPIs with the same Medicare PAC ID 18

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

View all 18

Facilities with the same owner 5

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

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 63

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040315000974 SD Part B Supplier - Clinic/Group Practice 8921997933 Receives reassigned benefits from 96 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alcester, SD; Aberdeen, SD; Yankton, SD; Woonsocket, SD; White River, SD; Wessington Springs, SD; Ridgeview, SD; Plankinton, SD…
O20160209000730 SD Part A Provider - Federally Qualified Health Center (FQHC) 8921997933 Practice locations: Faith, SD

Federally qualified health center certification: CCN 431813

Legal name
HORIZON HEALTH CARE INC
Doing business as
FAITH COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 1, 1993
Last certification
Mar 1, 1993
Ownership / control type
For profit – partnership
Most recent change of ownership
Jan 1, 2016 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1977 in SD
Enrollment address
112 N 2ND Ave W
Faith, SD 57626-0577

All disclosed owners & managing parties 15

Medicare enrollment files

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

NameRoleSinceShare
Jessica Lindskov Individual Corporate DirectorBoard Member Jan 1, 2019
Samantha Plank Individual Corporate DirectorBoard Member Jul 25, 2012
Steve Heisel Individual Corporate DirectorBoard Member Dec 1, 2022
Dennis Nelsen Individual Corporate DirectorBoard Member Jan 1, 2020
Echo Petersen Individual Corporate DirectorBoard Member Nov 14, 2011
Rhea Lecompte Individual Corporate DirectorBoard Member Dec 1, 2022
Rosemary K Jensen Individual W-2 Managing EmployeeInsurance Billing Administrator Jan 1, 2016
Wade Erickson Individual Corporate OfficerCeo Jul 1, 2021
Tristan L Gruenhagen Individual Corporate DirectorBoard Member Nov 14, 2011
Brenda Schneider Individual Corporate DirectorBoard Member Jan 1, 2021
David W Schmidt Individual Corporate DirectorBoard Member Jul 28, 2008
Ryan Jensen Individual Corporate DirectorBoard Member Jan 1, 2020
Melissa Hofer Individual Corporate OfficerCfo Jul 1, 2021
Horizon Health Care Inc Organization, Howard, SD Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Operational/Managerial Control Jan 1, 2016 100%
Jerry a Miller Individual Corporate DirectorBoard Member Jan 1, 2021

All facility ownership & control disclosures 5

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Weskota Manor IncWessington Springs, SD, CCN 435133 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2024
Apr 22, 2026
Isabel Community ClinicIsabel, SD, CCN 431803 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 2016
Jan 1, 2016
Family Health Center of Eagle ButteEagle Butte, SD, CCN 431802 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 2016
Jan 1, 2016
Bison ClinicBison, SD, CCN 431827 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 2016
Jan 1, 2016
Tiospaye Topa SchoolLa Plant, SD, CCN 431848 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 2016
Jan 1, 2016

Change-of-ownership history 2

Medicare enrollment files
DateEventCounterparty
Jan 1, 2016 Acquisition/MergerThis provider was the buyer Faith Community ClinicCCN 431813, SD, NPI 1912972712
Jan 1, 2016 Acquisition/MergerThis provider was the seller Faith Community Health CenterCCN 431813, SD, NPI 1912972712

National Provider Directory

National Provider Directory
Tax ID family
Bell Medical Services19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

112 N 2ND Ave W
Faith, SD 57626-0577

Mailing address

PO Box 577
Faith, SD 57626-0577
Phone (605) 967-2644

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
40374OtherPART B GROUP #
5350130MedicaidSD

Other names 1

NPPES NPI Registry
  • Faith Community Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2017.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1912972712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "FAITH",
            "state": "SD",
            "postal_code": "576260577",
            "telephone_number": "605-967-2644",
            "fax_number": "605-967-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 2ND AVE W",
            "city": "FAITH",
            "state": "SD",
            "postal_code": "576260577",
            "telephone_number": "605-967-2644",
            "fax_number": "605-967-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "MENGENHAUSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL CEO",
        "authorized_official_telephone_number": "605-772-4525",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART B GROUP #",
            "identifier": "40374",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5350130",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Faith, SD

Sources for this page

Verify at the official NPI Registry.