NPIMap

Organization Active NPI

Cass County Public Health Department

Doing business as Cass County Home Health Agency

  • Home Health Agency
  • Virginia, IL
National Provider Identifier
1104887801
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CASS COUNTY PUBLIC HEALTH DEPARTMENT
Doing business as
Cass County Home Health Agency
Practice address
331 S Main St
Virginia, IL 62691-1519
Phone
(217) 452-3057
Fax
(217) 452-7245
NPI assigned
Mar 31, 2006
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Mrs. Tiffany Angelo, RN, BSN
Title
Administrator
Phone
(217) 452-3057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

331 S Main St
Virginia, IL 62691-1519

Mailing address

331 S Main St
Virginia, IL 62691-1571
Phone (217) 452-3057

Other names 1

  • Cass County Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080807000045 IL Part A Provider - Home Health Agency 5395745137 Practice locations: Virginia, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104887801. Details of each certification follow.

Home health agency certification: CCN 147221

Legal name
CASS COUNTY PUBLIC HEALTH DEPT
Doing business as
CASS COUNTY HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 1, 1983
Last certification
Jan 17, 2019
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Enrollment address
331 South Main Street
Virginia, IL 62691-1524

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Cass County Home Health AgencyCCN 147221 · All quality measures
Overall star rating
2.5 of 5
Ownership
Government Operated
Certified
Mar 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Cass Co Public Health Dept7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Cass County Public Health Dept Organization, Virginia, IL Operational/Managerial Control Jul 23, 1983
Teresa Armstrong Individual W-2 Managing EmployeeAdministrator Mar 1, 2015 100%

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cass County Public Health DeptVirginia, IL, CCN 141571 Hospice Operational/Managerial Control (100%) Aug 4, 1994
Cass County Health ClinicVirginia, IL, CCN 141047 Federally qualified health center Operational/Managerial Control (100%) Dec 1, 2007
Cass County Health ClinicBeardstown, IL, CCN 781826 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2014

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1104887801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S MAIN ST",
            "city": "VIRGINIA",
            "state": "IL",
            "postal_code": "626911571",
            "telephone_number": "217-452-3057",
            "fax_number": "217-452-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S MAIN ST",
            "city": "VIRGINIA",
            "state": "IL",
            "postal_code": "626911519",
            "telephone_number": "217-452-3057",
            "fax_number": "217-452-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASS COUNTY PUBLIC HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "ANGELO",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-452-3057",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cass County Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cass County Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia, IL

Sources for this page

Verify at the official NPI Registry.