NPIMap

Organization Active NPI

Mercy Harvard Hospital Inc

Doing business as Mercy Harvard Care Center

  • Skilled Nursing Facility
  • Harvard, IL
National Provider Identifier
1124195557
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0004911 Issued in IL
Legal business name
MERCY HARVARD HOSPITAL INC
Doing business as
Mercy Harvard Care Center
Practice address
901 Grant St
Harvard, IL 60033-1821
Phone
(815) 943-2967
NPI assigned
Nov 29, 2006
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCYHEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Patricia Lynne Allen
Title
Cfo
Phone
(608) 756-6080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0004911 IL Primary

Addresses

Primary practice location

901 Grant St
Harvard, IL 60033-1821

Mailing address

901 Grant St
P O Box 850
Harvard, IL 60033-1821
Phone (815) 943-2967

Other identifiers 2

IdentifierTypeStateIssuer
0004911OtherILIDPH
0005632028OtherILBCBSIL

Other names 1

  • MERCY HARVARD CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110524000278 IL Part A Provider - Skilled Nursing Facility 6204729577 Practice locations: Harvard, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124195557. Details of each certification follow.

Skilled nursing facility certification: CCN 146014

Legal name
MERCY HARVARD HOSPITAL INC
Doing business as
MERCY HARVARD CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 30, 2001
Last certification
Apr 9, 2024
Beds
45 (34 certified)
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 17, 2003 in IL
Enrollment address
901 Grant St
Harvard, IL 60033-1821
Nursing home name
MERCY HARVARD HOSPITAL CARE CENTER
Affiliated entity
MERCYHEALTH SYSTEM

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mercy Harvard Hospital Care CenterCCN 146014 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 30, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3415.7 residents per day on average
Chain
Mercyhealth System3 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Mercy Harvard Hospital Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Dave L Syverson Individual Corporate DirectorBoard of Directors Jan 1, 2016
Kathi J Palches Individual Adp of the SNF Nov 8, 1999
Ali Olia Individual Corporate OfficerVP Information Systems Nov 1, 2021
Shannon Dunphy-Alexander Individual Corporate OfficerCfo Dec 1, 2024
Operational/Managerial Control Dec 1, 2024
Kara Sankey Individual Corporate OfficerVP Operations Apr 1, 2021
Jennifer a Hallatt Individual Corporate OfficerVP Operations Jan 1, 2012
Carlos Arevalo Individual Corporate DirectorBoard of Directors Oct 16, 2024
Mercy Health Corporation Organization, Rockford, IL Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Thomas D Budd Individual Corporate DirectorBoard of Directors-Secretary/Treasu Jan 1, 2016
Katherine M Kus Individual Operational/Managerial Control Apr 1, 2011
Adp of the SNF Apr 29, 2025
John T Dorsey Individual Corporate OfficerVP Medical Staff Affairs & Physi Aug 20, 2012
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Apr 29, 2025
Katherine a Schack Individual Corporate DirectorBoard of Directors - Vice Chair Mar 22, 2017
Joanna Benning Individual Corporate OfficerVP Facilities & Construction Mar 15, 2015
Robert Brinkerhoff Individual Corporate OfficerVP People & Culture Feb 19, 2024
Edward P Cranley Individual Corporate OfficerSenior VP Mercycare Insurance Nov 30, 2014
Bradley Olson Individual Corporate OfficerVP Managed Care Sep 25, 2023
Mark L Goelzer Individual Corporate OfficerVP Medical Staff Affairs & Physi Jan 1, 2016
Corporate DirectorBoard of Directors-Director of M Jan 1, 2016
Kimberly Scaccia Individual Corporate OfficerVP Revenue Cycle Mar 23, 2020
Wesley M Jost Individual Corporate Director May 18, 2017
Tyler Killpack Individual Corporate OfficerVP Community Hospitals Aug 1, 2023
Amy Whitaker Individual Corporate OfficerVP Supply Chain Aug 1, 2022
Thomas R Pool Individual Corporate DirectorBoard of Directors-Chair Jan 1, 2016
Ladd Udy Individual Corporate OfficerVP Value Based Care & Pop Health Nov 10, 2018
Javon R Bea Individual Corporate OfficerPresident/Ceo Jul 27, 1989
Corporate DirectorPresident & Ceo Jan 1, 2016

Owners & managing parties with NPI records 2

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

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 342

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.

View all 342

Affiliated clinicians 1

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1124195557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GRANT ST",
            "address_2": "P O BOX 850",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600331821",
            "telephone_number": "815-943-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GRANT ST",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600331821",
            "telephone_number": "815-943-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HARVARD HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCYHEALTH CORPORATION",
        "enumeration_date": "2006-11-29",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "608-756-6080"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0004911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH",
            "identifier": "0004911",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "0005632028",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY HARVARD CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MERCY HARVARD CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harvard, IL

Sources for this page

Verify at the official NPI Registry.