NPIMap

Organization Active NPI

Blessingcare Corporation

Doing business as Illini Community Hospital Rural Health Clinic

  • Rural Health Clinic/Center
  • Pittsfield, IL
National Provider Identifier
1710920129
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BLESSINGCARE CORPORATION
Doing business as
Illini Community Hospital Rural Health Clinic
Practice address
321 W Washington St
Pittsfield, IL 62363-1360
Phone
(217) 285-9447
Fax
(217) 285-9448
NPI assigned
Jun 14, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

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
Connie L. Schroeder
Title
President Ceo
Phone
(217) 285-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

321 W Washington St
Pittsfield, IL 62363-1360

Mailing address

321 W Washington St
Pittsfield, IL 62363-1360
Phone (217) 285-9447

Other identifiers 2

IdentifierTypeStateIssuer
1710920129OtherILGROUP NPI
143482OtherILRURAL HEALTH PART A MEDIC

Other names 1

  • Illini Community Hospital Rural Health Clinic Doing business as

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 IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050419000684 IL Part B Supplier - Clinic/Group Practice 2769420959 Receives reassigned benefits from 41 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pittsfield, IL
O20060222000174 IL Part A Provider - Rural Health Clinic 2769420959 Practice locations: Pittsfield, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710920129. Details of each certification follow.

Rural health clinic certification: CCN 143482

Legal name
BLESSINGCARE CORPORATION
Doing business as
ILLINI COMMUNITY HOSPITAL RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 3, 2006
Last certification
May 7, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jan 20, 2000 in IL
Enrollment address
640 W Washington St
Pittsfield, IL 62363-1350
Related CCNs
141315

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

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Robert D Thomas Individual Corporate DirectorMedical Director / Board Member Jun 29, 2021
Jason Stratton Individual Corporate Director Dec 19, 2017
Daman Emrick Individual Corporate Director Jun 25, 2019
Amy Ruebush Individual Corporate Director Jun 2, 1990
Jeannie Goodman Individual Corporate Director Jan 1, 2016
Patrick Gerveler Individual Corporate OfficerCfo Jan 1, 2013
Corporate DirectorBoard Member / Cfo Jan 1, 2013
Blessing Corporate Services, Inc. Organization, Quincy, IL Corporation 5% Or Greater Direct Ownership Interest Aug 22, 2005 100%
Brian Canfield Individual Corporate OfficerBHS Ceo / President Jul 1, 2023
Corporate DirectorBoard Member / President / BHS Ceo Jul 1, 2023
Holly Jones Individual Corporate DirectorBoard Member / VP Ich Dec 19, 2022
W-2 Managing EmployeeBoard Member / VP Ich Dec 19, 2022
Julie Duke Individual Corporate OfficerChief Revenue Cycle Officer Dec 1, 2022

Owners & managing parties with NPI records 4

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

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1710920129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W WASHINGTON ST",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623631360",
            "telephone_number": "217-285-9447",
            "fax_number": "217-285-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W WASHINGTON ST",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623631360",
            "telephone_number": "217-285-9447",
            "fax_number": "217-285-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSINGCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "217-285-2113"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1710920129",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH PART A MEDIC",
            "identifier": "143482",
            "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": "Illini Community Hospital Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Illini Community Hospital Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsfield, IL

Sources for this page

Verify at the official NPI Registry.