NPIMap

Organization Active NPI

Hammond Henry Dist Hospital

  • Home Health Agency
  • Geneseo, IL
National Provider Identifier
1699882191
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 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
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

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 1

  • HOME HEALTH Other name

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699882191. Details of each certification follow.

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
GovernmentNon-profit
Enrollment address
534 N Center St
Geneseo, IL 61254-1015
HHA Branch

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home HLTH SVCS of Hammond Henry HospCCN 147450 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 5, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Hammond Henry Dist Hosp13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

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 OfficerSecretary Jun 1, 2023
Heather D Charlet Individual W-2 Managing EmployeeAd; Jun 1, 2023 60%
Kimberly Gehling Individual Corporate OfficerTreasurer Jun 1, 2023
Douglas Ford Individual Corporate OfficerChair Jun 1, 2023
Julie Atwell Individual Corporate OfficerBoard Member Jun 1, 2012 60%
Nancy Lang Individual Corporate OfficerVice Chair Jun 1, 2023
Wyatt Brieser Individual Corporate OfficerCeo Aug 22, 2025 60%
W-2 Managing EmployeeCeo Aug 22, 2024 60%
Jodie Criswell Individual Corporate OfficerVice President Fiscal Services May 19, 2011 60%
W-2 Managing EmployeeVice President of Fiscal Service May 19, 2011 60%

Owners & managing parties with NPI records 6

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

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

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1699882191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N COLLEGE AVE",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541091",
            "telephone_number": "309-944-6431",
            "fax_number": "309-944-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COLLEGE AVE",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541007",
            "telephone_number": "309-944-4853",
            "fax_number": "309-520-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND HENRY DIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "CRISWELL",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-944-6431",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME HEALTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Geneseo, IL

Sources for this page

Verify at the official NPI Registry.