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TRI-COUNTY HOSPICE SERVICES, INC
NPI 1104001163
Hospice Care, Community Based in Dexter, MO

Active since January 08, 2008CLIA 26D1080742 · Waiver
4/5
Patient Care Rating
1614 W. BUSINESS HWY 60, STE. A-2, DEXTER, MO 63841(573) 614-4000(903) 537-8420 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2026, Sep 20, 2024, Jul 25, 2023 and 9 more (12 updates tracked since 2016).

About Tri-county Hospice Services, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-COUNTY HOSPICE SERVICES, INC (NPI 1104001163), doing business as Elara Caring, is a healthcare organization registered as a hospice care, community based in Dexter, Missouri and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Angel Stansbury, Dir License & Regulatory Compliance, as its authorized official.

NPPES Registry Identity

NPI1104001163
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameTRI-COUNTY HOSPICE SERVICES, INC
Location Address1614 W. BUSINESS HWY 60, STE. A-2Dexter, MO 63841
Mailing Address3010 Lyndon B Johnson Fwy Ste 1100Dallas, TX 75234-2712 · (517) 768-4373 · Fax (903) 537-8420
Phone(573) 614-4000
Fax(903) 537-8420
Organization SubpartNo
Authorized OfficialAngel StansburyDir License & Regulatory Compliance · (337) 344-2141
Enumeration DateJanuary 8, 2008
Last NPPES UpdateFebruary 3, 202612 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1104001163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in MO · PENDING
1614 W. BUSINESS HWY 60, Dexter, MO 63841
Open in Google Maps ↗

Other Names 1

Doing Business AsElara Caring

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1080742

Tri-County Hospice Services, Inc Dba Elara Caring · Dexter, MO
Active · expires Feb 29, 2028
CLIA Number26D1080742
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorSamantha Cooper
Laboratory Phone(573) 614-4000
Laboratory LocationTri-County Hospice Services, Inc Dba Elara Caring1614 W Business Hwy 60, Suite A-2, Dexter, MO 63841
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Elara Caring (CMS certification number 267589), from CMS Care Compare.

Elara Caring

Home health agency · Dexter, MO
4.5/5 Quality of Patient Care
OwnershipProprietary
CMS Certification Number267589
Medicare-Certified SinceNovember 10, 2004
Phone(866) 243-0042
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Patient Care Measures

Patients whose home health care began in a timely manner
100%
Patients who got better at walking or moving around
90.8%
Patients who got better at getting in and out of bed
93%
Patients who got better at bathing
91.8%
Patients whose breathing improved
91.1%
Patients who got better at taking their drugs correctly by mouth
88.2%
Patients checked for a flu shot for the current season
46.2%
Physician-recommended actions on medication issues completed on time
97.6%
Patients with a functional assessment and care plan at admission and discharge
99.5%
Patients experiencing one or more falls with major injury
Lower rates are better for this measure.
0.5%
New or worsened pressure ulcers or injuries (skin integrity)
Lower rates are better for this measure.
0.2%
Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
995 of 1,235 patient episodes · observed rate 80.57%
84.48% Better Than National Rate
Potentially preventable hospital readmissions after discharge
668 patient stays · observed rate 2.84%
Lower rates are better for this measure.
3.3% Same As National Rate
Medicare spending per episode of care, relative to the national average
1.00 = national average per episode of care
0.91
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Elara Caring (CMS certification number 261637), from CMS Care Compare.

Elara Caring

Hospice · Dexter, MO
OwnershipFor-Profit
CMS Certification Number261637
CMS RegionRegion 7
Medicare-Certified SinceOctober 8, 2008
Average Daily Census71patients per day on average
Location1614 W Business Hwy 60, Ste A-2Dexter, MO 63841 · Stoddard County
Phone(573) 614-4000
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home77%
Assisted living facility6%
Nursing facility16%
Skilled nursing facility0%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations1%
Patients with cancer
28%
Patients with dementia
10%
Patients with circulatory or heart disease
27%
Patients with respiratory disease
19%
Patients with stroke
4%
Patients with other conditions
0%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
363 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
363 patient stays
100%
Hospice and Palliative Care Pain Screening
363 patient stays
100%
Hospice and Palliative Care Pain Assessment
220 patient stays
100%
Hospice and Palliative Care Dyspnea Screening
363 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
312 patient stays
100%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
90 patient stays
100%
Hospice and Palliative Care Composite Process Measure
363 patient stays
100%
Hospice Visits in the Last Days of Life
370 patient stays
52.2%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
9/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 51
0%
Gaps in nursing visits
National percentile 16
26.9%
Early live discharges
National percentile 83
11.4%
Late live discharges
National percentile 28
31.6%
Burdensome transitions, Type 1
National percentile 48
6.3%
Burdensome transitions, Type 2
National percentile 82
3.8%
Per-beneficiary spending
National percentile 33
$13,730
Nurse care minutes per routine home care days
National percentile 67
13.9 minutes
Skilled nursing minutes on weekends
National percentile 39
7%
Visits near death
National percentile 70
95.8%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRI COUNTY HOME HEALTH, INC.
Home Health
1614 W. BUSINESS HWY 60, SUITE A-1
DEXTER, MO 63841
Stoddard County (866) 243-0042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-County Hospice Services, Inc's NPI number?

The NPI number for Tri-County Hospice Services, Inc is 1104001163. It was assigned to this organization in the NPPES registry on January 8, 2008. The provider is doing business as Elara Caring.

Where is Tri-County Hospice Services, Inc located?

Tri-County Hospice Services, Inc is located at 1614 W. Business Hwy 60 Ste. A-2, Dexter, MO 63841. The listed phone number is (573) 614-4000.

What is Tri-County Hospice Services, Inc's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Tri-County Hospice Services, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1080742) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Tri-County Hospice Services, Inc a Medicare-certified home health agency?

Yes. Elara Caring is a Medicare-certified home health agency, certified since November 10, 2004.

What quality rating does Tri-County Hospice Services, Inc have?

CMS rates Elara Caring 4.5 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

What insurance does Tri-County Hospice Services, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Tri-County Hospice Services, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tri-County Hospice Services, Inc was last updated on February 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.