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Organization Active NPI

Sarah Bush Lincoln Health Center

Doing business as Sarah Bush Lincoln Hospice

  • Community Based Hospice Care Agency
  • Charleston, IL
National Provider Identifier
1992889109
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2002004 Issued in IL
Legal business name
SARAH BUSH LINCOLN HEALTH CENTER
Doing business as
Sarah Bush Lincoln Hospice
Practice address
700 W Lincoln Ave Ste 100
Charleston, IL 61920-2468
Phone
(800) 454-4055
Fax
(217) 348-6525
NPI assigned
Oct 24, 2006
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SARAH BUSH LINCOLN HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Sean Fischer
Title
Vice President Finance
Phone
(217) 258-2525

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2002004 IL Primary
Inpatient Hospice 315D00000X

Addresses

Primary practice location

700 W Lincoln Ave Ste 100
Charleston, IL 61920-2468

Mailing address

1000 Health Center Dr
Mattoon, IL 61938-4644

Other names 1

  • Sarah Bush Lincoln Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080102000384 IL Part A Provider - Hospice 5092614867 Practice locations: Mattoon, IL; Charleston, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992889109. Details of each certification follow.

Hospice certification: CCN 141599

Legal name
SARAH BUSH LINCOLN HEALTH CENTER
Doing business as
SARAH BUSH LINCOLN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 10, 1999
Last certification
Aug 11, 1999
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
May 18, 1970 in IL
Enrollment address
700 W Lincoln Ave
Ste 100
Charleston, IL 61920-2468

Other NPIs with the same Medicare PAC ID 10

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Sarah Bush Lincoln HospiceCCN 141599 · All quality measures
Ownership
Non-Profit
Certified
Aug 10, 1999
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Sarah Bush Linc Anesthi11 organizations share this tax ID, including this one
Part of
Sarah Bush Linc Anesthi

Other organizations with this tax ID 10

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

Locations

1004 Health Center Dr
Ste 202
Mattoon, IL 61938
Phone (800) 879-3212

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Steve L Childers Individual Corporate DirectorVice Chair Jul 1, 2018
Lee Taylor Individual Corporate DirectorBoard Member Jan 1, 2023
Mike Genta Individual Corporate DirectorBoard Member Jul 1, 2021
James E Zimmer Individual Corporate DirectorBoard Member Jun 30, 2018
Jay Gatrell Individual Corporate OfficerBoard Member Jan 1, 2024
Dale Boyer Individual Corporate DirectorBoard Member Jul 1, 2019
Josh Bullock Individual Corporate DirectorTreasurer Jul 1, 2019
Dennis J Pluard Individual Corporate OfficerVice President Finance & Cfo Oct 6, 2004
W-2 Managing EmployeeVice President Finance & Cfo Oct 6, 2004
Lucas L Catt Individual Corporate DirectorBoard Member Jul 1, 2018
Sarah Bush Lincoln Health System Organization, Mattoon, IL Non-profit 5% Or Greater Direct Ownership Interest Apr 25, 1983 100%
Sean Fischer Individual Corporate OfficerVice President Finance & Cfo Feb 1, 2024
John M Caltry Individual W-2 Managing EmployeeMedical Director Feb 1, 2018
Didi E Omiyi Individual Corporate DirectorBoard Member Jul 1, 2021
Barbara J Hall Individual Corporate DirectorChair Jun 30, 2016
Kimberly a Uphoff Individual Corporate OfficerPresident & Ceo Aug 1, 2022
W-2 Managing EmployeeAdministrator Aug 31, 2022
Jennifer Garrison Individual Corporate DirectorBoard Member Jul 1, 2024
Jay M Markwell Individual Corporate DirectorBoard Member Jul 1, 2017
Alan D Metzger Individual Corporate DirectorBoard Member Jul 1, 2016
Holly Adams Individual Corporate DirectorBoard Member Jul 1, 2023
Fatima Alao Individual Corporate DirectorBoard Member Jul 1, 2023
Michael Radliff Individual Corporate DirectorBoard Member Jul 1, 2023

Owners & managing parties with NPI records 4

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
Fayette County HospitalVandalia, IL, CCN 145499 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2019

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 6

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

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1992889109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER DR",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W LINCOLN AVE STE 100",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202468",
            "telephone_number": "800-454-4055",
            "fax_number": "217-348-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH BUSH LINCOLN HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SARAH BUSH LINCOLN HEALTH CENTER",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "217-258-2525"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2002004",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarah Bush Lincoln Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, IL

Sources for this page

Verify at the official NPI Registry.