CARROLL COUNTY MEMORIAL HOSPITAL HOME HEALTH CARE AGENCY
NPI 1205831013
Home Health in Carrollton, MO
NPI Status: Active since June 17, 2005
Contact Information
1502 N JEFFERSON ST
CARROLLTON, MO
ZIP 64633
Phone: (660) 542-3301
Fax: (660) 542-1691
- Organization
- Home Health
- Accepts Insurance
- CLIA Number: 26D0445208
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-15-2027
About CARROLL COUNTY MEMORIAL HOSPITAL HOME HEALTH CARE AGENCY
This page provides the complete NPI Profile along with additional information for Carroll County Memorial Hospital Home Health Care Agency, a provider established in Carrollton, Missouri operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1205831013 assigned on June 2005. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Carroll County Memorial Hospital Home Health Care Agency. The authorized official of this NPI record is Amy Ireland (Chief Revenue Officer)
- NPI
- 1205831013
- Provider Legal Name
- CARROLL COUNTY MEMORIAL HOSPITAL
- Other Organization Name
- CARROLL COUNTY MEMORIAL HOSPITAL HOME HEALTH CARE AGENCY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1502 N JEFFERSON ST CARROLLTON, MO 64633
- Location Phone
- (660) 542-3301
- Location Fax
- (660) 542-1691
- Mailing Address
- 1502 N JEFFERSON ST CARROLLTON, MO 64633
- Mailing Phone
- (660) 542-3301
- Mailing Fax
- (660) 542-1691
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-17-2005
- Last Update Date
- 10-29-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Catastrophic Pathway (+ Incentives) - EPO
- Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Blue KC Community Silver Preferred-Care Blue EPO - EPO
- Blue KC First Bronze Preferred-Care Blue EPO - EPO
- Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
- Blue KC Standard Gold Preferred-Care Blue EPO - EPO
- Blue KC Standard Silver Preferred-Care Blue EPO - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 90214014 | OTHER (01) | MO | BLUE CROSS BLUE SHIELD |
| 580157907 | MEDICAID (05) | MO |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D0445208
- Facility Type
- Hospital
- Certificate Effective Date
- January 16, 2025
- Certificate Expiration Date
- January 15, 2027
- Laboratory Director
- PAUL MCGOWAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Carroll County Memorial Hospital Home Health Care Agency on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for CARROLL COUNTY MEMORIAL HOSPITAL HOME HEALTH CARE AGENCY
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205831013, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CARROLLTON, MO 64633
CARROLLTON, MO 64633
CARROLLTON, MO 64633
CARROLLTON, MO 64633
CARROLLTON, MO 64633
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205831013, enumerated as an "organization" on June 17, 2005.
The provider is located at 1502 N JEFFERSON ST CARROLLTON, MO 64633 and the phone number is (660) 542-3301.
Home Health with taxonomy code 251E00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.
