NPIMap

Organization Active NPI

St. Joseph Medical Center

Doing business as OSF Hospice-Eastern Region

  • Community Based Hospice Care Agency
  • Bloomington, IL
National Provider Identifier
1013945583
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ST. JOSEPH MEDICAL CENTER
Doing business as
OSF Hospice-Eastern Region
Practice address
1701 E College Ave
Bloomington, IL 61704-2101
Phone
(309) 451-5925
Fax
(309) 451-8278
NPI assigned
Jun 30, 2006
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
OSF HEALTHCARE SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Kirsten M Largent
Title
Cfo, Osf Healthcare System
Phone
(309) 308-5255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1701 E College Ave
Bloomington, IL 61704-2101

Mailing address

124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 655-2850

Other identifiers 1

IdentifierTypeStateIssuer
007MedicaidIL

Other names 1

  • OSF Hospice-Eastern Region Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110222000279 IL Part A Provider - Hospice 8921901620 Practice locations: Bloomington, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013945583. Details of each certification follow.

Hospice certification: CCN 141601

Legal name
ST. JOSEPH MEDICAL CENTER
Doing business as
OSF HOSPICE-EASTERN REGION
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 6, 2000
Last certification
Oct 1, 2020
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jan 2, 1880 in IL
Enrollment address
1701 E College Ave
Bloomington, IL 61704-2101

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Osf Hospice - Eastern RegionCCN 141601 · All quality measures
Ownership
Non-Profit
Certified
Dec 6, 2000
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
St Josephs Hosp Med Ctr4 organizations share this tax ID, including this one
Part of
Osf Healthcare System

Other organizations with this tax ID 3

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Patricia a Brazeau Individual Corporate Officer Oct 1, 2006
Corporate Director Jan 1, 2016
Anne M Ziegler Individual Corporate Director Jan 1, 2021
Melanie R Mann Individual Corporate Officer Oct 6, 2024
Corporate Director Oct 1, 2006
Jason Robert Rodeghero Individual W-2 Managing EmployeeAd;Hospice Administrator Jun 17, 2020
Operational/Managerial ControlPresident, Osf Home Health Services Jun 17, 2020
Osf Healthcare Ministries Organization, Peoria, IL Corporation, Non-profit Operational/Managerial Control Nov 1, 2024
Kathleen F Williams Individual Corporate Officer Nov 1, 2014
Corporate Director Jan 1, 2003
Kirsten M Largent Individual Corporate DirectorCfo, Osf Healthcare System Nov 8, 2024
W-2 Managing EmployeeCfo, Osf Healthcare System Nov 8, 2024
Operational/Managerial ControlCfo, Osf Healthcare System Nov 8, 2024
Michelle D Conger Individual Corporate DirectorPresident, Osf Healthcare System Jan 1, 2025
W-2 Managing EmployeePresident, Osf Healthcare System Jan 1, 2025
Operational/Managerial ControlPresident, Osf Healthcare System Jan 1, 2025
Robert C Sehring Individual Corporate OfficerChief Executive Officer Oct 20, 2017
Corporate DirectorCeo, Osf Healthcare System Oct 20, 2017
W-2 Managing EmployeeCeo, Osf Healthcare System Oct 20, 2017
Operational/Managerial ControlCeo, Osf Healthcare System Oct 20, 2017
Judith a Duvall Individual Corporate Officer Oct 1, 2006
Corporate Director Oct 1, 1989
John S Shallat Individual W-2 Managing EmployeeMD;Hospice Medical Director May 31, 2023
Paula K Selamat Individual Corporate Director Oct 6, 2024
Bridget J Meidl Individual Corporate Director Nov 1, 2014

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 76

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

View all 76

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1013945583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SW ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021308",
            "telephone_number": "309-655-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E COLLEGE AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042101",
            "telephone_number": "309-451-5925",
            "fax_number": "309-451-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2006-06-30",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "LARGENT",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO, OSF HEALTHCARE SYSTEM",
        "authorized_official_telephone_number": "309-308-5255"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSF Hospice-Eastern Region",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OSF Hospice-Eastern Region",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.