NPIMap

Organization Active NPI

Bond County Treasurer

  • Home Health Agency
  • Greenville, IL
National Provider Identifier
1871591941
Registry record updated Jun 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1000025 Issued in IL
Legal business name
BOND COUNTY TREASURER
Practice address
1520 S 4TH St
Greenville, IL 62246-2618
Phone
(618) 664-5020
Fax
(618) 664-9682
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2017

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

Authorized official

Name
Sean Eifert, MA
Title
Administrator
Phone
(618) 664-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1000025 IL Primary

Addresses

Primary practice location

1520 S 4TH St
Greenville, IL 62246-2618

Mailing address

1520 S 4TH St
Greenville, IL 62246-2618
Phone (618) 664-5020

Other names 1

  • Bond County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091023000179 IL Part A Provider - Home Health Agency 0446355820 Practice locations: Greenville, IL

Home health agency certification: CCN 147023

Legal name
BOND COUNTY TREASURER
Doing business as
BOND COUNTY HEALTH DEPARTMENT
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
May 26, 2021
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Incorporated
Jul 1, 1966 in IL
Enrollment address
1520 South Fourth Street
Greenville, IL 62246-2618

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bond County Health DepartmentCCN 147023
Overall star rating
3 of 5
Ownership
Government Operated
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Bond County Health Department9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Bond County Treasurer Organization, Greenville, IL Operational/Managerial Control Jul 1, 1966 100%
Sean P Eifert Individual Corporate Officer Feb 7, 2017
W-2 Managing Employee Feb 7, 2017
Brian Goodiel Individual Corporate DirectorHome Health Director Oct 28, 2019

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bond County Health DepartmentGreenville, IL, CCN 141594 Hospice Operational/Managerial Control (100%) May 1, 1998

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496966400000",
    "number": "1871591941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S 4TH ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622462618",
            "telephone_number": "618-664-5020",
            "fax_number": "618-664-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S 4TH ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622462618",
            "telephone_number": "618-664-5020",
            "fax_number": "618-664-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND COUNTY TREASURER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2017-06-09",
        "status": "A",
        "authorized_official_last_name": "EIFERT",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-664-5020",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1000025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bond County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, IL

Sources for this page

Verify at the official NPI Registry.