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CARROLL COUNTY MEMORIAL HOSPITAL HOME HEALTH CARE AGENCY
NPI 1205831013
Home Health in Carrollton, MO

Active since June 17, 2005CLIA 26D0445208 · Accreditation
1502 N JEFFERSON ST, CARROLLTON, MO 64633(660) 542-3301(660) 542-1691 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2019, Nov 14, 2016 (2 updates tracked since 2016).

About Carroll County Memorial Hospital Home Health Care Agency NPPES

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

CARROLL COUNTY MEMORIAL HOSPITAL HOME HEALTH CARE AGENCY (NPI 1205831013) is a healthcare organization registered as a home health in Carrollton, Missouri and active in the NPI registry since June 2005. The organization holds an CLIA Accreditation certificate valid through January 15, 2027 and lists Amy Ireland, Chief Revenue Officer, as its authorized official.

NPPES Registry Identity

NPI1205831013
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCARROLL COUNTY MEMORIAL HOSPITAL
Location Address1502 N JEFFERSON STCarrollton, MO 64633-1948
Mailing Address1502 N Jefferson StCarrollton, MO 64633-1948 · (660) 542-3301 · Fax (660) 542-1691
Phone(660) 542-3301
Fax(660) 542-1691
Organization SubpartNo
Authorized OfficialAmy IrelandChief Revenue Officer · (660) 542-1695
Enumeration DateJune 17, 2005
Last NPPES UpdateOctober 29, 20212 updates tracked since enumeration
NPPES CertifiedOctober 29, 2021
✔ NPI 1205831013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
1502 N JEFFERSON ST, Carrollton, MO 64633
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Other Names 1

Doing Business AsCarroll County Memorial Hospital Home Health Care Agency

Other Identifiers 2

Other90214014MO · Blue Cross Blue Shield
Medicaid580157907MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City.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 Accreditation 26D0445208

Carroll County Memorial Hospital · Carrollton, MO
Active · expires Jan 15, 2027
CLIA Number26D0445208
Laboratory TypeHospital
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorPaul Mcgowan
Laboratory Phone(660) 542-1695
Laboratory LocationCarroll County Memorial Hospital1502 North Jefferson, Carrollton, MO 64633
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

ESS OF CARROLL COUNTY LLC
Emergency Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
JEFFERSON MEDICAL GROUP
Family Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-9998
CYNTHIA LYNNE CAUBLE LCSW
Social Worker (Clinical)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
CARROLL COUNTY MEDICAL CLINIC
Family Medicine
1502 N JEFFERSON ST, ST SUITE A B
CARROLLTON, MO 64633
Carroll County (660) 542-3865
KELSEY LYON PHARMD
Pharmacist
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
KAYLEA JO COATS FNP
Nurse Practitioner (Family)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
CARROLL COUNTY MEMORIAL HOSPITAL
General Acute Care Hospital (Critical Access)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
JEFFERSON MEDICAL GROUP
Clinic/Center (Rural Health)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-9998

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 Carroll County Memorial Hospital's NPI number?

The NPI number for Carroll County Memorial Hospital is 1205831013. It was assigned to this organization in the NPPES registry on June 17, 2005. The provider is doing business as Carroll County Memorial Hospital Home Health Care Agency.

Where is Carroll County Memorial Hospital located?

Carroll County Memorial Hospital is located at 1502 N Jefferson St, Carrollton, MO 64633. The listed phone number is (660) 542-3301.

What is Carroll County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Carroll County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 26D0445208) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carroll County Memorial Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Carroll County Memorial Hospital 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 Carroll County Memorial Hospital was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.