Organization Active NPI

Hitz Memorial Home

  • Skilled Nursing Facility
  • Alhambra, IL
National Provider Identifier
1780602722
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0032979 Issued in IL
Legal business name
HITZ MEMORIAL HOME
Practice address
201 Belle
Alhambra, IL 62001
Phone
(618) 488-2355
Fax
(618) 488-2361
NPI assigned
Jul 17, 2006
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Susan Tudor
Title
Administrator
Phone
(618) 488-2355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0032979 IL Primary

Addresses

Primary practice location

201 Belle
Alhambra, IL 62001

Mailing address

PO Box 79
Alhambra, IL 62001-0079
Phone (618) 488-2355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111027000167 IL Part A Provider - Skilled Nursing Facility 9335312966 Practice locations: Alhambra, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780602722. Details of each certification follow.

Skilled nursing facility certification: CCN 145921

Legal name
HITZ MEMORIAL HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 1, 1997
Last certification
Sep 12, 2024
Beds
67 (59 certified)
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
201 Bell St
Alhambra, IL 62001-3049
Nursing home name
HITZ MEMORIAL HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hitz Memorial HomeCCN 145921 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5943.3 residents per day on average
Penalties (3 years)
1Fines totaling $75,965

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0725625Hitz Memorial Home201 Belle St, Alhambra, IL 62001Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
David Scheldt Individual Corporate OfficerBoard Member Jan 1, 2024
Adp of the SNF Jan 1, 2024
Jeremy Wood Individual Corporate OfficerBoard Member Oct 25, 2021
Adp of the SNF Oct 25, 2021
David Hooks Individual Corporate OfficerBoard Member Jan 1, 2022
Adp of the SNF Jan 1, 2022
Terri Hosto Individual Corporate OfficerBoard Member Jan 1, 2020
Adp of the SNF Jan 1, 2020
Makenzie Linn Wilson Individual Corporate DirectorExecutive Director Jul 2, 2021 100%
Operational/Managerial ControlExecutive Director Jul 2, 2021 100%
Adp of the SNF Sep 4, 2020
Dean F Schueler Individual Corporate DirectorMedical Director Mar 1, 2013
Operational/Managerial Control Mar 1, 2013
Adp of the SNF Mar 1, 2013
Christine Dauderman Individual Corporate OfficerBoard Member Feb 28, 2022
Adp of the SNF Feb 28, 2022
Margie Ann Schmidt Individual Corporate OfficerBoard Member Jan 21, 2019
Adp of the SNF Jan 21, 2019
Janelle Gelly Individual Corporate OfficerBoard Member Jan 1, 2023
Adp of the SNF Jan 1, 2023
Lisa Uhe Individual Corporate OfficerBoard Member Jan 1, 2024
Adp of the SNF Jan 1, 2024
Randy Strohmeier Individual Corporate OfficerBoard Member Jan 1, 2022
Adp of the SNF Jan 1, 2022
Carol Reckman Individual Corporate OfficerBoard Member Jan 1, 2023
Adp of the SNF Jan 1, 2023
Richard Suhre Individual Corporate OfficerBoard Member Jan 21, 2019
Adp of the SNF Jan 21, 2019
Ashley Ernst Individual Corporate OfficerBoard Member Jan 25, 2021
Adp of the SNF Jan 25, 2021

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1780602722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "ALHAMBRA",
            "state": "IL",
            "postal_code": "620010079",
            "telephone_number": "618-488-2355",
            "fax_number": "618-488-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BELLE",
            "city": "ALHAMBRA",
            "state": "IL",
            "postal_code": "62001",
            "telephone_number": "618-488-2355",
            "fax_number": "618-488-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HITZ MEMORIAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "TUDOR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-488-2355"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0032979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, IL

Sources for this page

Verify at the official NPI Registry.