Osf Healthcare System

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0044024 Issued in IL

Legal business name

OSF HEALTHCARE SYSTEM

Doing business as

Saint Clare Home

Practice address

5533 N Galena Rd
Peoria Heights, IL 61616-4447

Phone

(309) 682-5428

Fax

(309) 682-8478

NPI assigned

Nov 1, 2005

Organization subpart

No

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

Authorized official

Name

Robert C Sehring

Title

Ceo

Phone

(309) 655-2850

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Saint Clare Home Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Osf Healthcare System

  • Durable Medical Equipment & Medical Supplies
  • Peoria, IL
  • NPI 1093370108

  Member Of

  NPD member

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1659362499",
    "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": "5533 N GALENA RD",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616164447",
            "telephone_number": "309-682-5428",
            "fax_number": "309-682-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSF HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "SEHRING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-655-2850"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0044024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50105",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Clare Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cristina Lynn Mugrage, MSW
• Mollie Elizabeth Murdock, COTA/L
• Ashley Murray, LPN
• Megan Nordstrom, MA
• Amber Oliveri
• Jonas Parker, PHARMD
• Jumuna Patel, MD
• Veronica Patel, PHARMD
• Kelly Jo Paulsen, MS CCC-SLP
• Peoria Heights Cu SCH Dist 325

• Skilled Nursing Facility in Peoria Heights, IL
• Providers in Peoria Heights, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.