NPIMap

Organization Active NPI

Blessing Hospital

  • Rehabilitation Hospital Unit
  • Quincy, IL
National Provider Identifier
1689711764
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
0000141 Issued in IL
Legal business name
BLESSING HOSPITAL
Practice address
1005 Broadway St
Quincy, IL 62301-2834
Phone
(217) 223-8400
Fax
(217) 223-9945
NPI assigned
Jan 30, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BLESSING HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mr. Timothy A Moore
Title
Cao
Phone
(217) 223-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 0000141 IL Primary

Addresses

Primary practice location

1005 Broadway St
Quincy, IL 62301-2834

Mailing address

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

Other identifiers 1

IdentifierTypeStateIssuer
0123OtherILBLUE CROSS

Other names 1

  • Blessing Inpatient Rehabilitation Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000668 IL Part A Provider - Hospital 3072422534 1 other NPI on this enrollment
Practice locations: Quincy, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689711764. Details of each certification follow.

Hospital certification: CCN 14T015

Legal name
BLESSING HOSPITAL
Doing business as
BLESSING INPATIENT REHABILITATION
Organization structure
CorporationNon-profit
Incorporated
Oct 29, 1873 in IL
Enrollment address
1005 Broadway St
Quincy, IL 62301-2834
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 20

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

View all 20

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Blessing HospitalCCN 14T015 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 1985

National Provider Directory

National Provider Directory
Tax ID family
Blessing Hosp Pathology35 organizations share this tax ID, including this one
Part of
Blessing Hosp Pathology

Other organizations with this tax ID 34

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

View all 34

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
Mohamed Ali Individual Corporate DirectorBoard Member Oct 16, 2017
Amy Ruebush Individual Corporate DirectorBoard Member Mar 27, 2025
Nancy Bluhm Individual Corporate Director Feb 1, 2017
Patrick Gerveler Individual Corporate OfficerCfo Apr 1, 2001
Corporate DirectorBoard Member, Cfo Apr 1, 2001
Abby Reich Individual Corporate DirectorBoard Member Jan 1, 2013
John Arnold Individual Corporate DirectorBoard Member Jan 25, 2024
Blessing Corporate Services, Inc. Organization, Quincy, IL Operational/Managerial Control Nov 7, 2007
Mark Baumann Individual Corporate DirectorBoard Member Jan 25, 2024
Timothy Koontz Individual Corporate Director Nov 7, 2007
Timothy Tranor Individual Corporate OfficerCoo / Interim Ceo Apr 16, 2025
Corporate DirectorBH Board Member / Coo / Interim Ceo Apr 16, 2025
Operational/Managerial ControlCoo / Interim Ceo Apr 16, 2025
William H Dixon Individual Corporate DirectorBoard Member Feb 1, 2025
James Rinella Individual Corporate DirectorBoard Member Jan 25, 2024
Julie Brink Individual Corporate DirectorBoard Member Oct 16, 2017
Steven Krause Individual Corporate DirectorBoard Member Jan 25, 2024
Julie Duke Individual Corporate OfficerChief Revenue Cycle Officer Dec 1, 2022

Owners & managing parties with NPI records 7

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

Facilities with the same owner 20

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

View all 20

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1689711764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400",
            "fax_number": "217-223-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400",
            "fax_number": "217-223-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSING HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLESSING HOSPITAL",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "217-223-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IL",
            "license": "0000141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0123",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Blessing Inpatient Rehabilitation",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Blessing Inpatient Rehabilitation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.