CARROLL COUNTY MEMORIAL HOSPITAL HOME HEALTH CARE AGENCY - NPI 1205831013

Q: What is the provider's specialty?

The provider's specialty is Home Health with taxonomy code 251E00000X.

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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.