Hammond Henry Dist Hospital

Organization Active NPI Home Health Agency · Geneseo, IL

NPI 1699882191 · NPPES record last updated Feb 18, 2026

Key facts

NPI
1699882191
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
HAMMOND HENRY DIST HOSPITAL
Practice address
600 N College Ave
Geneseo, IL 61254-1007
Phone
(309) 944-4853
Fax
(309) 520-2575
NPI assigned
Aug 23, 2006
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 6

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

Owned or controlled facilities with NPI records 4

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

Other NPIs with the same Medicare PAC ID 6

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

Corporate family (same tax ID) 12

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

Facilities with the same owner 4

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

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

Affiliated clinicians 11

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

Medicare Care Compare: Home health agency

Listed as
Home HLTH SVCS of Hammond Henry Hosp CCN 147450
Overall star rating
★★★☆☆ 3 of 5
Ownership
Proprietary
Certified
Jun 5, 1986
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Home health agency certification: CCN 147450

Legal name
HAMMOND HENRY DIST HOSPITAL
Doing business as
HOME HEALTH OF HAMMOND HENRY HOSPITAL
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 5, 1986
Last certification
Apr 20, 2012
Ownership / control type
Proprietary
Organization structure
Government · Non-profit
Enrollment address
534 N Center St
Geneseo, IL 61254-1015
HHA Branch

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Hammond Henry Dist Hospital
Organization · Geneseo, IL
Non-profit
Operational/Managerial Control Aug 22, 2025
Michael Zerull
Individual
Corporate Officer
Secretary
Jun 1, 2023
Heather D Charlet
Individual
W-2 Managing Employee
Ad;
Jun 1, 2023 60%
Kimberly Gehling
Individual
Corporate Officer
Treasurer
Jun 1, 2023
Douglas Ford
Individual
Corporate Officer
Chair
Jun 1, 2023
Julie Atwell
Individual
Corporate Officer
Board Member
Jun 1, 2012 60%
Nancy Lang
Individual
Corporate Officer
Vice Chair
Jun 1, 2023
Wyatt Brieser
Individual
Corporate Officer
Ceo
Aug 22, 2025 60%
W-2 Managing Employee
Ceo
Aug 22, 2024 60%
Jodie Criswell
Individual
Corporate Officer
Vice President Fiscal Services
May 19, 2011 60%
W-2 Managing Employee
Vice President of Fiscal Service
May 19, 2011 60%

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Hammond Henry Dist Hospital
Geneseo, IL · CCN 14Z319
Hospital Operational/Managerial Control Jun 4, 2002
Hammond Henry Dist Hospital
Kewanee, IL · CCN 148576
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 31, 2017
Hammond Henry Dist Hospital
Geneseo, IL · CCN 148587
Rural health clinic 5% Or Greater Direct Ownership Interest May 1, 2018
Hammond Henry Annawan Clinic
Annawan, IL · CCN 148615
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2019

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080103000242 IL Part a Provider - Home Health Agency 0143115949 Practice locations: Geneseo, IL

National Provider Directory

Tax ID family
Hammond Henry Dist Hosp (13 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

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

Other names

  • HOME HEALTH Other name

Other providers in Geneseo, IL

All providers in Geneseo, IL · Home Health Agency in Illinois

Sources for this page

Verify at the official NPI Registry.