ST. JOHN'S REGIONAL MEDICAL CENTER HOME HEALTH AGENCY - NPI 1962516096

Q: What is St. John's Regional Medical Center's NPI number?

The NPI number for St. John's Regional Medical Center is 1962516096. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider is doing business as St. John's Regional Medical Center Home Health Agency.

Q: What is St. John's Regional Medical Center's specialty?

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

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About St. John's Regional Medical Center Home Health Agency NPPES

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

ST. JOHN'S REGIONAL MEDICAL CENTER HOME HEALTH AGENCY (NPI 1962516096) is a healthcare organization registered as a home health in Joplin, Missouri and active in the NPI registry since August 2006. The organization lists George Caralis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962516096

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameST. JOHN'S REGIONAL MEDICAL CENTER

Location Address4500 E 32ND STJoplin, MO 64804-4404

Mailing Address4500 E 32nd StJoplin, MO 64804-4404 · (417) 781-2204 · Fax (417) 781-2517

Phone(417) 781-2204

Fax(417) 781-2517

Organization SubpartNo

Authorized OfficialGeorge CaralisCeo · (417) 781-2727

Enumeration DateAugust 18, 2006

Last NPPES UpdateMarch 11, 2009

✔ NPI 1962516096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in MO · 127-21

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.

4500 E 32ND ST, Joplin, MO 64804

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Other Names 1

Doing Business AsSt. John's Regional Medical Center Home Health Agency

Other Identifiers 3

Medicare OSCAR/certification267049MO

Medicaid580564508MO

Medicaid100000880FKS

Other Providers at the Same Location NPPES 6

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

MRS. SHAWN LARAE PETERSON PTA

Physical Therapy Assistant