Organization Active NPI

Adair County Health Dept

Doing business as Adair County Health Department/Home Health Agency

  • Home Health Agency
  • Kirksville, MO
National Provider Identifier
1992793517
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
125-20 Issued in MO
Legal business name
ADAIR COUNTY HEALTH DEPT
Doing business as
Adair County Health Department/Home Health Agency
Practice address
1001 S Jamison St
Kirksville, MO 63501-3941
Phone
(660) 665-8491
Fax
(660) 627-2913
NPI assigned
Oct 7, 2005
Last updated
May 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
James Edward Lebaron
Title
Administrator
Phone
(660) 665-8491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 125-20 MO Primary

Addresses

Primary practice location

1001 S Jamison St
Kirksville, MO 63501-3941

Mailing address

1001 S Jamison St
Kirksville, MO 63501-3941
Phone (660) 665-8491

Other names 1

  • Adair County Health Department/Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080402000115 MO Part B Supplier - Clinic/Group Practice 9335226398 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kirksville, MO

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0652130Adair County Health Department1001 South Jamison, Kirksville, MO 63501Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1992793517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S JAMISON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013941",
            "telephone_number": "660-665-8491",
            "fax_number": "660-627-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S JAMISON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013941",
            "telephone_number": "660-665-8491",
            "fax_number": "660-627-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "LEBARON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-665-8491"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "125-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adair County Health Department/Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.