NPIMap

Organization Active NPI

County of Calhoun

Doing business as Calhoun County Health Department

  • Home Health Agency
  • Hardin, IL
National Provider Identifier
1649261587
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1664162 Issued in IL
Legal business name
COUNTY OF CALHOUN
Doing business as
Calhoun County Health Department
Practice address
210 French Street
Hardin, IL 62047-0158
Phone
(618) 576-2428
Fax
(618) 576-9391
NPI assigned
Oct 31, 2005
Last updated
Mar 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Mrs. Sandy Teichmann, RN
Title
Public Health Administrator
Phone
(618) 576-2428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1664162 IL Primary

Addresses

Primary practice location

210 French Street
Hardin, IL 62047-0158

Mailing address

PO Box 158
Hardin, IL 62047-0158
Phone (618) 576-2428

Other identifiers 2

IdentifierTypeStateIssuer
147052OtherILMEDICARE PART A & B
9823OtherILBCBS PROVIDER NUMBER

Other names 1

  • Calhoun County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100724000184 IL Part A Provider - Home Health Agency 7517926330 Practice locations: Hardin, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649261587. Details of each certification follow.

Home health agency certification: CCN 147052

Legal name
COUNTY OF CALHOUN
Doing business as
CALHOUN COUNTY HEALTH DEPARTMENT
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Aug 4, 2021
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Enrollment address
210 French Street
Hardin, IL 62047-0158

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: Home health agency

Medicare Care Compare
Listed as
Calhoun County Health DepartmentCCN 147052 · All quality measures
Overall star rating
3 of 5
Ownership
Government Operated
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
County of Calhoun3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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
Sandy Teichmann Individual W-2 Managing EmployeePublic Health Administrator Nov 6, 2019 100%
County of Calhoun Organization, Hardin, IL Non-profit Operational/Managerial Control Jun 1, 1966

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1649261587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "HARDIN",
            "state": "IL",
            "postal_code": "620470158",
            "telephone_number": "618-576-2428",
            "fax_number": "618-576-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FRENCH STREET",
            "city": "HARDIN",
            "state": "IL",
            "postal_code": "620470158",
            "telephone_number": "618-576-2428",
            "fax_number": "618-576-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CALHOUN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "TEICHMANN",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "PUBLIC HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "618-576-2428",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1664162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A & B",
            "identifier": "147052",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "9823",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calhoun County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hardin, IL

Sources for this page

Verify at the official NPI Registry.