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Changes to a Registered Agency

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Contact Information
Supplemental Health Care Services Agency Regulation

920 Wildwood Drive, P.O. Box 570, Jefferson City, MO 65109

Hours of Operation:

Monday through Friday
7:30 a.m. to 4 p.m.

Phone

A registered agency shall notify the department of any change in agency name, address, phone number, fax number, email address and/or reasonable contact person information by completing and submitting a Changes to a Registered Agency form to the department by mail or emailing SHCSA@health.mo.gov. Any change in ownership or operator shall be reported to the department within thirty (30) days of the change. This includes the addition or removal of any owners, operators or controlling persons. The registration shall become void and the new owner and/or operator shall apply for a new registration and pay the required fee.

MO 580-3425

MO 580-3425 Changes to a Registered Agency