Sarah Bush Lincoln Health Center
Organization Active NPI Community Based Hospice Care Agency · Charleston, IL
NPI 1992889109 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1992889109
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 2002004 (IL)
- Legal business name
- SARAH BUSH LINCOLN HEALTH CENTER
- 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
- Organization subpart
- Yes
- Parent organization (as reported)
- SARAH BUSH LINCOLN HEALTH CENTER
Authorized official
- Name
- Sean Fischer
- Title
- Vice President Finance
- Phone
- (217) 258-2525
Owners & managing parties with NPI records 4
-
Fatima Alao, M.D.
-
John Caltry, D.O.
-
Lucas L Catt, MD
-
Didi Omiyi, M.D.
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 9
Facilities with the same owner 6
Practitioners 411
-
Ashley Adams, APRN
-
Arnold V Agapito, MD
-
Aziz Ahmed, MD
-
Babatunde Obafemi Alao, M.D.
-
Fatima Alao, M.D.
-
Suresh Alla, M.D.
-
Chelsea Kay Allen-Labaume, M.S., LCPC
-
Maria C. Althoff, CRNA
-
Joan V Alvarado, MD
-
Allyson Anderson, CRNA
-
Leslie Anderson, MD
-
Robin Anderson, FNP
-
Marshall Ashby, C.R.N.A.
-
Robert C Atchley, APN
-
Alexis Ayonote, M.D.
-
Loring Barr, APRN
-
Danny W. Beal, M.D.
Affiliated clinicians 11
-
Doris Ann Bowers, M.D.
-
John Caltry, D.O.
-
Lucas L Catt, MD
-
Michael Darmadi, MD
-
David P Davis, MD
-
Gregory Deters, M.D.
-
James Hildebrandt, D.O.
-
John Jackson Richards, M.D.
Medicare Care Compare: Hospice
- Listed as
- Sarah Bush Lincoln Hospice
- Ownership
- Non-Profit
- Certified
- Aug 10, 1999
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
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
- Corporation · Non-profit
- Incorporated
- May 18, 1970 in IL
- Enrollment address
- 700 W Lincoln Ave
Ste 100
Charleston, IL 61920-2468
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| Steve L Childers |
Corporate Director |
Jul 1, 2018 | |
| Lee Taylor |
Corporate Director |
Jan 1, 2023 | |
| Mike Genta |
Corporate Director |
Jul 1, 2021 | |
| James E Zimmer |
Corporate Director |
Jun 30, 2018 | |
| Jay Gatrell |
Corporate Officer |
Jan 1, 2024 | |
| Dale Boyer |
Corporate Director |
Jul 1, 2019 | |
| Josh Bullock |
Corporate Director |
Jul 1, 2019 | |
| Dennis J Pluard |
Corporate Officer |
Oct 6, 2004 | |
| W-2 Managing Employee |
Oct 6, 2004 | ||
| Lucas L Catt |
Corporate Director |
Jul 1, 2018 | |
| Sarah Bush Lincoln Health System |
5% Or Greater Direct Ownership Interest | Apr 25, 1983 | 100% |
| Sean Fischer |
Corporate Officer |
Feb 1, 2024 | |
| John M Caltry |
W-2 Managing Employee |
Feb 1, 2018 | |
| Didi E Omiyi |
Corporate Director |
Jul 1, 2021 | |
| Barbara J Hall |
Corporate Director |
Jun 30, 2016 | |
| Kimberly a Uphoff |
Corporate Officer |
Aug 1, 2022 | |
| W-2 Managing Employee |
Aug 31, 2022 | ||
| Jennifer Garrison |
Corporate Director |
Jul 1, 2024 | |
| Jay M Markwell |
Corporate Director |
Jul 1, 2017 | |
| Alan D Metzger |
Corporate Director |
Jul 1, 2016 | |
| Holly Adams |
Corporate Director |
Jul 1, 2023 | |
| Fatima Alao |
Corporate Director |
Jul 1, 2023 | |
| Michael Radliff |
Corporate Director |
Jul 1, 2023 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Fayette County Hospital |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080102000384 | IL | Part a Provider - Hospice | 5092614867 | Practice locations: Mattoon, IL; Charleston, IL |
National Provider Directory
- Tax ID family
- Sarah Bush Lincoln H C
- Part of
- Sarah Bush Lincoln H C
Locations
1004 Health Center Dr
Ste 202
Mattoon, IL 61938
Phone (800) 879-3212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 2002004 | IL | Yes |
| 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
- Sarah Bush Lincoln Hospice
Other providers in Charleston, IL
- RTS Counseling Services, LLC
- Aldo Carmen Ruffolo
- Ryan R. Pine, M.D. LTD
- Haley Cierra Sanders
- Sarah Bush Lincoln Health Center
- Charles L Schuster
- Nathan David Schwartzkopf
- Ronald Ray Sellers
- Alice Jean Shonk
- Norman Simburger
All providers in Charleston, IL · Community Based Hospice Care Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.