NPIMap

Organization Active NPI

Hammond Henry Dist Hospital

  • Rehabilitation Hospital Unit
  • Geneseo, IL
National Provider Identifier
1164535431
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
HAMMOND HENRY DIST HOSPITAL
Practice address
600 N College Ave
Geneseo, IL 61254-1007
Phone
(309) 944-9150
Fax
(309) 520-2591
NPI assigned
Aug 17, 2006
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Ms. Jodie Criswell
Title
Cfo
Phone
(309) 944-6431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

600 N College Ave
Geneseo, IL 61254-1007

Mailing address

600 N College Ave
Geneseo, IL 61254-1091
Phone (309) 944-6431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080103000334 IL Part A Provider - Skilled Nursing Facility 0143115949 Practice locations: Geneseo, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164535431. Details of each certification follow.

Skilled nursing facility certification: CCN 145464

Legal name
HAMMOND HENRY DIST HOSPITAL
Doing business as
HAMMOND HENRY HOSPITAL SKILLED NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 14, 1982
Last certification
Sep 27, 2024
Beds
38
Ownership / control type
Hospital District
Organization structure
GovernmentNon-profit
Enrollment address
600 N College Ave
Geneseo, IL 61254-1099
Nursing home name
HAMMOND-HENRY DISTRICT HSP

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hammond-Henry District HSPCCN 145464 · All quality measures
Overall star rating
4 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 14, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3835.9 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $75,020

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Hammond Henry Dist Hosp13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Heather D Charlet Individual Corporate OfficerCno Jun 1, 2024 60%
Operational/Managerial Control Jan 21, 2025
Adp of the SNF Jan 21, 2025
Kimberly Gehling Individual Corporate OfficerTreasurer Jun 1, 2024 60%
Thomas R Staley Individual Operational/Managerial Control Jan 21, 2025
Adp of the SNF Jan 21, 2025
Douglas Ford Individual Corporate OfficerChair Jun 1, 2024 60%
Nancy Lang Individual Corporate OfficerVice Chair Jun 1, 2024 60%
Wyatt Brieser Individual Corporate OfficerCeo Aug 22, 2025 60%
Jodie Criswell Individual Corporate OfficerVice President of Fiscal Services May 19, 2011 60%
Operational/Managerial Control Jan 21, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Hammond Henry Dist HospitalGeneseo, IL, CCN 14Z319 Hospital Operational/Managerial Control Jun 4, 2002
Home Health of Hammond Henry HospitalGeneseo, IL, CCN 147450 Home health agency Operational/Managerial Control Aug 22, 2025
Hammond Henry Dist HospitalKewanee, IL, CCN 148576 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 31, 2017
Hammond Henry Dist HospitalGeneseo, IL, CCN 148587 Rural health clinic 5% Or Greater Direct Ownership Interest May 1, 2018
Hammond Henry Annawan ClinicAnnawan, IL, CCN 148615 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2019

Owned or controlled facilities with NPI records 5

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1164535431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N COLLEGE AVE",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541091",
            "telephone_number": "309-944-6431",
            "fax_number": "309-944-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COLLEGE AVE",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541007",
            "telephone_number": "309-944-9150",
            "fax_number": "309-520-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND HENRY DIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "CRISWELL",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-944-6431",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, IL

Sources for this page

Verify at the official NPI Registry.