NPIMap

Organization Active NPI

The Carle Foundation Hospital

Doing business as Carle Home Care

  • Home Health Agency
  • Champaign, IL
National Provider Identifier
1891780615
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1000082 Issued in IL
Legal business name
THE CARLE FOUNDATION HOSPITAL
Doing business as
Carle Home Care
Practice address
4116 Fieldstone Rd
Champaign, IL 61822-8801
Phone
(217) 383-3488
Fax
(217) 355-8133
NPI assigned
Sep 19, 2005
Last updated
Aug 6, 2025By the provider in NPPES
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
Home Health Agency 251E00000X 1000082 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 Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120314000299 IL Part A Provider - Home Health Agency 9436040334 Practice locations: Champaign, IL; Peoria, IL; Normal, IL; Olney, IL
O20210203002261 IL Part B Supplier - Home Infusion Therapy Supplier 9436040334 Practice locations: Champaign, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891780615. Details of each certification follow.

Home health agency certification: CCN 147241

Legal name
THE CARLE FOUNDATION HOSPITAL
Doing business as
CARLE HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 12, 1983
Last certification
Mar 4, 2016
Ownership / control type
Non-Profit
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: Home health agency

Medicare Care Compare
Listed as
Carle Home CareCCN 147241 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Sep 12, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
14D0677519Carle Home Care4116 Fieldstone Rd, Champaign, IL 61822Certificate of waiverJun 15, 2028

National Provider Directory

National Provider Directory
Part of
Carle Home Infusion

Member organizations 1

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
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 DirectorBoard Member Sep 1, 2020
The Carle Foundation Organization, Urbana, IL Corporation, 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 207

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

View all 207

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1891780615",
    "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": "217-383-3488",
            "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": "2005-09-19",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1000082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carle Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carle Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.