Organization Active NPI

St Mary Medical Center

Doing business as OSF Home Health-Western Region

  • Home Health Agency
  • Galesburg, IL
National Provider Identifier
1225072176
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST MARY MEDICAL CENTER
Doing business as
OSF Home Health-Western Region
Practice address
3405 N Seminary St
Galesburg, IL 61401-1251
Phone
(309) 341-3161
NPI assigned
Jun 15, 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
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3405 N Seminary St
Galesburg, IL 61401-1251

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
9919OtherILBLUE CROSS

Other names 1

  • OSF Home Health-Western Region Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100112000093 IL Part A Provider - Home Health Agency 8628038015 Practice locations: Galesburg, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225072176. Details of each certification follow.

Home health agency certification: CCN 147430

Legal name
ST MARY MEDICAL CENTER
Doing business as
OSF HOME HEALTH-WESTERN REGION
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 1, 1985
Last certification
Oct 25, 2019
Ownership / control type
Non-Profit
Organization structure
OtherNon-profit
Incorporated
Jan 2, 1880 in IL
Enrollment address
3405 N Seminary St
Galesburg, IL 61401-1216

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Osf Home Health-Western RegionCCN 147430 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Aug 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0431884Osf Home Health - Western Region3405 N Seminary St, Galesburg, IL 61401Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Fam Prac Ass Dba St Mar12 organizations share this tax ID, including this one
Part of
Eastland Med Plaza Surg

Other organizations with this tax ID 11

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.

Ownership & related parties

All disclosed owners & managing parties 15

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 Oct 19, 2009
Anne M Ziegler Individual Corporate Director Jan 1, 2021
Melanie R Mann Individual Corporate Officer Oct 6, 2024
Corporate Director Oct 19, 2009
Gerald J McShane Individual Corporate Director Oct 19, 2009
Jason Robert Rodeghero Individual W-2 Managing EmployeeAd; Jun 17, 2020
Operational/Managerial ControlPresident, Osf Home Care 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 Oct 19, 2009
Corporate Director Oct 19, 2009
Kirsten M Largent Individual Corporate OfficerCfo 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 OfficerPresident, Osf Healthcare System Jan 1, 2025
W-2 Managing EmployeePresident, Osf Healthcare System Jan 1, 2025
Operational/Managerial ControlPresident, Odsf Healthcare System Jan 1, 2025
Robert C Sehring Individual Corporate OfficerCeo 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 19, 2009
Carisa a Neumann Individual Corporate Director Jan 1, 2021
Brian J Silverstein Individual Corporate Director Oct 1, 2015
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 52

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

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1225072176",
    "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",
            "fax_number": "309-655-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 N SEMINARY ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011251",
            "telephone_number": "309-341-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2006-06-15",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "9919",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSF Home Health-Western Region",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.