NPIMap

Organization Active NPI

Blessingcare Corporation

Doing business as Illini Community Hospital

  • Critical Access Hospital
  • Pittsfield, IL
National Provider Identifier
1720086218
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
5132 Issued in IL
Legal business name
BLESSINGCARE CORPORATION
Doing business as
Illini Community Hospital
Practice address
640 W Washington St
Pittsfield, IL 62363-1350
Phone
(217) 285-2113
Fax
(217) 285-2989
NPI assigned
Jul 8, 2005
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
Kathy Hull
Title
Ceo/President
Phone
(217) 285-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 5132 IL Primary

Addresses

Primary practice location

640 W Washington St
Pittsfield, IL 62363-1350

Mailing address

640 W Washington St
Pittsfield, IL 62363-1350
Phone (217) 285-2113

Other names 1

  • Illini Community Hospital 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 IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101222000295 IL Part A Provider - Critical Access Hospital 2769420959 Receives reassigned benefits from 33 practitioners
Practice locations: Pittsfield, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720086218. Details of each certification follow.

Hospital certification: CCN 141315

Legal name
BLESSINGCARE CORPORATION
Doing business as
ILLINI COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2001
Last certification
Dec 4, 2015
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 20, 2000 in IL
Enrollment address
640W Washington St
Pittsfield, IL 62363-1350
Main/Primary Hospital Location

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Illini Community HospitalCCN 141315 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Illini Xpress6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 1

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

Member organizations 5

Organizations listed as members of this organization in 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 Jun 29, 2021
Jason Stratton Individual Corporate Director Dec 19, 2017
Daman Emrick Individual Corporate Director Jun 25, 2019
Amy Ruebush Individual Corporate Director Oct 29, 2019
Jeannie Goodman Individual Corporate DirectorBoard Member Oct 1, 2015
Patrick Gerveler Individual Corporate Director Oct 1, 2010
Blessing Corporate Services, Inc. Organization, Quincy, IL Corporation 5% Or Greater Direct Ownership Interest Oct 20, 2010
Holly Jones Individual Corporate DirectorBoard Member / Administrator Dec 19, 2022
W-2 Managing EmployeeAdministrator Dec 19, 2022
Timothy Tranor Individual Corporate OfficerCoo / Interim Ceo Apr 16, 2025
Corporate DirectorBH Board Member / Coo / Interim Ceo Apr 16, 2025
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 35

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 35

Affiliated clinicians 122

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

View all 122

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1720086218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W WASHINGTON ST",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623631350",
            "telephone_number": "217-285-2113",
            "fax_number": "217-285-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W WASHINGTON ST",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623631350",
            "telephone_number": "217-285-2113",
            "fax_number": "217-285-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSINGCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "217-285-2113"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "5132",
            "primary": true
        }
    ],
    "identifiers": [],
    "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",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Illini Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsfield, IL

Sources for this page

Verify at the official NPI Registry.