NPIMap

Organization Active NPI

The Carle Foundation Hospital

  • Community Based Hospice Care Agency
  • Champaign, IL
National Provider Identifier
1851387385
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2000966 Issued in IL
Legal business name
THE CARLE FOUNDATION HOSPITAL
Practice address
4116 Fieldstone Rd
Champaign, IL 61822-8801
Phone
(217) 383-3151
Fax
(217) 355-8133
NPI assigned
Sep 20, 2005
Organization subpart
Yes
Parent organization
THE CARLE FOUNDATION HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
James Leonard
Title
Ceo
Phone
(217) 383-3221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2000966 IL Primary

Addresses

Primary practice location

4116 Fieldstone Rd
Champaign, IL 61822-8801

Mailing address

611 W Park
Urbana, IL 61801
Phone (217) 383-3311

Other names 1

  • Carle Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120321000399 IL Part A Provider - Hospice 9436040334 Practice locations: Champaign, IL; Peoria, IL; Normal, IL; Olney, IL

Hospice certification: CCN 141526

Legal name
THE CARLE FOUNDATION HOSPITAL
Doing business as
CARLE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 9, 1989
Last certification
Feb 21, 2008
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
May 28, 1982 in IL
Enrollment address
4116 Fieldstone Rd
Champaign, IL 61822-8801

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: Hospice

Medicare Care Compare
Listed as
Carle HospiceCCN 141526
Ownership
Other
Certified
May 9, 1989
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Carle Home Infusion29 organizations share this tax ID, including this one
Part of
Carle Home Infusion

Other organizations with this tax ID 28

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

View all 28

Locations

1813 W Kirby Ave
Champaign, IL 61821
Phone (217) 383-1850

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
Mark Czys Individual Corporate Director Sep 5, 2019
Uretz J Oliphant Individual Corporate Director Sep 9, 2016
Karl Appelquist Individual Corporate Director Sep 11, 2015
Jon Stewart Individual Corporate Director Sep 7, 2017
Paul T Tucker Individual Corporate Director Sep 7, 2017
Aja Ann Lystila Individual Corporate Director Sep 1, 2020
The Carle Foundation Organization, Urbana, IL Non-profit 5% Or Greater Direct Ownership Interest May 28, 1982 100%
Matthew Craig Kolb Individual Corporate OfficerChief Administrative Officer Jun 7, 2019
W-2 Managing Employee Jun 7, 2019
Michael J Devocelle Individual Corporate DirectorBoard Member Sep 10, 2021
James C Leonard Individual Corporate OfficerCeo Sep 28, 2007

Owners & managing parties with NPI records 2

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

Facilities with the same owner 31

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

View all 31

Practitioners & affiliated clinicians

Affiliated clinicians 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1851387385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801",
            "telephone_number": "217-383-3311",
            "fax_number": "217-355-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 FIELDSTONE RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618228801",
            "telephone_number": "217-383-3151",
            "fax_number": "217-355-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARLE FOUNDATION HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CARLE FOUNDATION HOSPITAL",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-383-3221"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2000966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carle Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carle Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.