NPIMap

Organization Active NPI

The Carle Foundation Hospital

  • General Acute Care Hospital
  • Urbana, IL
National Provider Identifier
1013071653
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0003798 Issued in IL
Legal business name
THE CARLE FOUNDATION HOSPITAL
Practice address
611 W Park St
Urbana, IL 61801
Phone
(217) 326-2955
Fax
(217) 326-2996
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James C Leonard
Title
Ceo
Phone
(217) 383-3221

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
General Acute Care Hospital 282N00000X 0003798 IL Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

611 W Park St
Urbana, IL 61801

Mailing address

611 W Park St
Urbana, IL 61801-2500
Phone (217) 326-2955

Other identifiers 4

IdentifierTypeStateIssuer
203OtherILBLUE CROSS PROV ID
4117OtherILHEALTH ALLIANCE PROV ID
7216OtherILPERSONALCARE
113326OtherILHEALTHLINK PROV ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL3 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070824000481 IL Part A Provider - Hospital 9436040334 1 other NPI on this enrollment
Practice locations: Urbana, IL; Champaign, IL; Rantoul, IL; Monticello, IL; Mahomet, IL; Danville, IL
O20240417001830 IL Part B Supplier - Home Infusion Therapy Supplier 9436040334 Practice locations: Champaign, IL
O20240502001627 IL Part B Supplier - Intensive Cardiac Rehabilitation 9436040334 Practice locations: Champaign, IL

Hospital certification: CCN 140091

Legal name
THE CARLE FOUNDATION HOSPITAL
Doing business as
CARLE FOUNDATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 20, 2012
Beds
316
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 28, 1982 in IL
Enrollment address
611 W Park St
Urbana, IL 61801-2529
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Carle Home Infusion29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

1802 S Mattis Ave
Champaign, IL 61821
Phone (217) 365-2855

2403 Village Green Pl
Champaign, IL 61822
Phone (217) 326-2911

311 W Fairchild St
Ste D
Danville, IL 61832
Phone (800) 457-5079

311 W Fairchild St
#D
Danville, IL 61832
Phone (800) 239-3620

311 W Fairchild St
Ste 120
Danville, IL 61832
Phone (217) 283-8468

311 W Fairchild St
Ste C
Danville, IL 61832
Phone (217) 446-0577

311 W Fairchild St
Ste B
Danville, IL 61832
Phone (217) 431-7759

100 N Gilbert St
Ste E
Danville, IL 61832
Phone (217) 383-3198

323 N Lawrence St
Gibson City, IL 60936

200 Lerna Rd S
Ste 251
Mattoon, IL 61938
Phone (800) 610-5447

200 Lerna Rd S
Rm 19
Mattoon, IL 61938
Phone (217) 258-3888

200 Lerna Rd S
Rm 210
Mattoon, IL 61938
Phone (217) 258-3888

200 Lerna Rd S
Ste 101
Mattoon, IL 61938
Phone (217) 258-7600

1016 Broadway Ave
Mattoon, IL 61938
Phone (217) 235-6421

207 Landmark Dr
Ste C
Normal, IL 61761
Phone (309) 268-5930

120 NE Glen Oak Ave
Ste 207
Peoria, IL 61603
Phone (309) 672-4539

810 W University Ave
Urbana, IL 61801
Phone (217) 326-2911

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Meredith Mills Individual Corporate DirectorBoard Member Apr 1, 2023
Martin O'Donnell Individual Corporate DirectorBoard Member Apr 1, 2023
Elizabeth Angelo Individual Corporate DirectorBoard Member Apr 1, 2023
Caleb Miller Individual Corporate DirectorBoard Member Apr 1, 2023
The Carle Foundation Organization, Urbana, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 28, 1982 100%
Matthew Craig Kolb Individual Corporate OfficerChief Administrative Officer Jun 7, 2019
W-2 Managing Employee Jun 7, 2019
James C Leonard Individual Corporate OfficerPresident/Ceo Sep 28, 2007
Kelly Cunningham Individual Corporate DirectorBoard Member Apr 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Practitioners 117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 117

Affiliated clinicians 1,086

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,086

Care Compare: Hospital

Medicare Care Compare
Listed as
Carle Foundation HospitalCCN 140091
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1013071653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-326-2955",
            "fax_number": "217-326-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801",
            "telephone_number": "217-326-2955",
            "fax_number": "217-326-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARLE FOUNDATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-383-3221",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0003798",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROV ID",
            "identifier": "203",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PROV ID",
            "identifier": "4117",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONALCARE",
            "identifier": "7216",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROV ID",
            "identifier": "113326",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.