CITIZENS MEMORIAL HOSPICE
NPI 1124157169
Hospice Care, Community Based in Bolivar, MO

Active since March 05, 2007
111 W BROADWAY ST, BOLIVAR, MO 65613(417) 328-6350(417) 328-6987 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2020, Sep 11, 2018 (2 updates tracked since 2018).

About Citizens Memorial Hospice NPPES

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

CITIZENS MEMORIAL HOSPICE (NPI 1124157169) is a healthcare organization registered as a hospice care, community based in Bolivar, Missouri and active in the NPI registry since March 2007. The organization lists Gary D. Fulbright, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124157169
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCITIZENS MEMORIAL HEALTH CARE FOUNDATION
Location Address111 W BROADWAY STBolivar, MO 65613-1501
Mailing Address1500 N Oakland AveBolivar, MO 65613-3099 · (417) 326-6000 · Fax (417) 328-6237
Fax(417) 328-6987
Organization SubpartNo
Authorized OfficialGary D. FulbrightExecutive Director · (417) 328-6501
Enumeration DateMarch 5, 2007
Last NPPES UpdateFebruary 18, 20202 updates tracked since enumeration
NPI 1124157169 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 · 003-10H0
111 W BROADWAY ST, Bolivar, MO 65613

Other Names 1

Doing Business AsCitizens Memorial Hospice

Accepted Insurance

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Citizens Memorial Hospice (CMS certification number 261508), from CMS Care Compare.

Citizens Memorial Hospice

Hospice · Bolivar, MO
OwnershipOther
CMS Certification Number261508
CMS RegionRegion 7
Medicare-Certified SinceOctober 19, 2009
Average Daily Census52patients per day on average
Location111 West BroadwayBolivar, MO 65613 · Polk County
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
Home32%
Assisted living facility0%
Nursing facility67%
Skilled nursing facility0%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations1%
Patients with cancer
16%
Patients with dementia
16%
Patients with circulatory or heart disease
19%
Patients with respiratory disease
11%
Patients with stroke
7%
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
286 patient stays
99.7%
Beliefs & Values Addressed (if desired by the patient)
286 patient stays
99%
Hospice and Palliative Care Pain Screening
286 patient stays
99.7%
Hospice and Palliative Care Pain Assessment
192 patient stays
97.9%
Hospice and Palliative Care Dyspnea Screening
286 patient stays
94.8%
Hospice and Palliative Care Dyspnea Treatment
119 patient stays
98.3%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
161 patient stays
96.3%
Hospice and Palliative Care Composite Process Measure
286 patient stays
89.9%
Hospice Visits in the Last Days of Life
348 patient stays
49.7%
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.
8/10
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 31
40.2%
Early live discharges
National percentile 35
4.1%
Late live discharges
National percentile 74
49%
Burdensome transitions, Type 1
National percentile 24
2%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 29
$13,204
Nurse care minutes per routine home care days
National percentile 8
7.7 minutes
Skilled nursing minutes on weekends
National percentile 41
7.2%
Visits near death
National percentile 30
88.8%
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.

Home Health
111 W BROADWAY ST
BOLIVAR, MO 65613

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 Citizens Memorial Health Care Foundation's NPI number?

The NPI number for Citizens Memorial Health Care Foundation is 1124157169. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is doing business as Citizens Memorial Hospice.

Where is Citizens Memorial Health Care Foundation located?

Citizens Memorial Health Care Foundation is located at 111 W Broadway St, Bolivar, MO 65613. The listed phone number is (417) 328-6350.

What is Citizens Memorial Health Care Foundation's specialty?

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

Is Citizens Memorial Health Care Foundation a Medicare-certified hospice?

Yes. Citizens Memorial Hospice is a Medicare-certified hospice (CMS certification number 261508), certified since October 19, 2009.

What insurance does Citizens Memorial Health Care Foundation 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 2 other insurers list Citizens Memorial Health Care Foundation 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 Citizens Memorial Health Care Foundation was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.