INTREPID USA HEALTHCARE SERVICES - HELENA, MT

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INTREPID USA HEALTHCARE SERVICES
1300 ASPEN, SUITE 3
HELENA, MT 59601


SHORT TERM HOSPICES

Services provided by INTREPID USA HEALTHCARE SERVICES:

Physicians (The number of full-time equivalent physicians employed by a provider): 1

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 1

Change of ownership date (Effective date of a change of ownership): Jan 2002

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 1

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 1

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 5

Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 277017

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED BY STAFF

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED BY STAFF

Srv: speech pathology (Indicates how speech pathology services are provided): PROVIDED BY STAFF

Type of facility (Indicates the category which represents the type of facility): PSYCHIATRIC

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 1

Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 1

Srv: medical social (Indicates how medical social services are provided): PROVIDED BY STAFF

Srv: nursing (Indicates how nursing services are provided): PROVIDED BY STAFF

Total # of employees (The total number of full-time employees in a hospice or an intermediate care facility/mental retardation facility): 1100

Srv: physician (Indicates how physician services are provided): PROVIDED BY EMPLOYEES

Acute/respite care indicator (Indicates if the hospice provides acute and/or respite short term inpatient care): ST INPATIENT ACUTE & RESPITE CARE PROV IN HSP

Counselors - Staff (The number of full-time equivalent counselors employed by a hospice): 1

Homemakers - Volunteer (The number of full-time equivalent homemakers in a hospice): 0.14

Srv: counseling (Indicates how counseling services are provided by a hospice): PROVIDED BY STAFF

Srv: home health aide (Indicates how home health aide services are provided by a hospice): PROVIDED BY STAFF

Srv: homemaker (Indicates how homemaker services are provided by a hospice): PROVIDED BY STAFF

Srv: medical supplies (Indicates how medical supplies services are provided by a hospice): PROVIDED BY STAFF

Srv: short term inpatient care (Indicates how short term inpatient care services are provided by a hospice): PROVIDED UNDER ARRANGEMENT

Volunteers - Total (The number of full-time volunteers in a hospice): 14

Compliance: plan of correction (Indicates if a provider is in compliance with program requirements based on an acceptable plan for correction of deficiencies): COMPLIANCE BASED ON ACCEPTABLE POC

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Mar 1999

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Mar 1996