Active NPI
Blessingcare Corporation
Doing business as Illini Registered Dietitians
- Metabolic Nutrition Registered Dietitian
- Pittsfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- Legal business name
- BLESSINGCARE CORPORATION
- Doing business as
- Illini Registered Dietitians
- Practice address
- 640 W Washington St
Pittsfield, IL 62363-1350 - Phone
- (217) 285-2113
- Fax
- (217) 285-5102
- NPI assigned
- Feb 1, 2010
- Last updated
- Nov 27, 2023
- Organization subpart
- Yes
- Parent organization
- BLESSINGCARE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Georgia A Janssen, MS RD LDN
- Title
- Asst Director Patient Food Service
- Phone
- (217) 223-8400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | Primary |
Addresses
Primary practice location
640 W Washington St
Pittsfield, IL 62363-1350
Mailing address
640 W Washington St
Pittsfield, IL 62363-1350
Phone (217) 285-2113
Other names 1
- Illini Registered Dietitians
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050419000684 | IL | Part B Supplier - Clinic/Group Practice | 2769420959 |
Receives reassigned benefits from 41 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pittsfield, IL |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Illini Community Oncology Physicians Group
- Hematology & Oncology Physician
- Pittsfield, IL
- NPI 1356674006
O20050419000684
-
dba Illini Community Hospital Rural Health Clinic
- Rural Health Clinic/Center
- Pittsfield, IL
- NPI 1710920129
O20050419000684
-
dba Illini Community Physicians
- Emergency Medicine Physician
- Pittsfield, IL
- NPI 1992038640
O20050419000684
National Provider Directory
National Provider Directory- Part of
- Blessingcare Corporation
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Quincy, IL
- NPI 1649272659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1083946156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 W WASHINGTON ST",
"city": "PITTSFIELD",
"state": "IL",
"postal_code": "623631350",
"telephone_number": "217-285-2113",
"fax_number": "217-285-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 W WASHINGTON ST",
"city": "PITTSFIELD",
"state": "IL",
"postal_code": "623631350",
"telephone_number": "217-285-2113",
"fax_number": "217-285-5102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLESSINGCARE CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BLESSINGCARE CORPORATION",
"enumeration_date": "2010-02-01",
"last_updated": "2023-11-27",
"certification_date": "2020-03-11",
"status": "A",
"authorized_official_last_name": "JANSSEN",
"authorized_official_first_name": "GEORGIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ASST DIRECTOR PATIENT FOOD SERVICE",
"authorized_official_telephone_number": "217-223-8400",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS RD LDN"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Illini Registered Dietitians",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Illini Registered Dietitians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pittsfield, IL
- Blessing Care Corp.
- Blessing Dialysis Center of Pittsfield
- Blessing Hospital (Illini Health Services Pharmacy)
- Blessing Hospital (Brown Drug Pittsfield)
- Blessingcare Corporation (ILLINI COM. HOSP. sURGICAL cENTER)
- Blessingcare Corporation (Illini Community Hospital Retail Pharmacy)
- Blessingcare Corporation (Illini Xpress)
- Blessingcare Corporation (Illini Community Oncology Physicians Group)
- Blessingcare Corporation (Illini Community Hospital)
- Blessingcare Corporation (Illini Community Hospital Therapist Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.