OSF HEALTHCARE SYSTEM (NPI# 1134633746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134633746 |
| Entity Type | Organization |
| Organization Name | OSF HEALTHCARE SYSTEM |
| Other Organization Name | OSF HOME HEALTH - URBANA |
| Practice Address |
1501 Interstate Dr Ste C Champaign IL 61822 |
| Mailing Address |
2265 W Altorfer Dr Peoria IL 61615-1807 |
| Practice Telephone | 2174435000 |
| Practice Fax Number | 2174772761 |
| Mailing Telephone | 3096837700 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | DIANE L. MCGREW (PRESIDENT) |
| Authorized Official Telephone | 3096552580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| OSF HOME HEALTH | Other Name - Individual/Organization |
| OSF Home Health - Urbana | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093370108 | Osf Healthcare System | Durable Medical Equipment & Medical Supplies | 1800 N Knoxville Ave Ste 104, Peoria, IL 61603-3028 | 2019-05-03 |
| 1962987735 | Osf Healthcare System | Clinic/Center | 719 N William Kumpf Blvd Ste 300, Peoria, IL 61605-2531 | 2018-09-27 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1275054801 | Osf Healthcare System | Skilled Nursing Facility | 5200 N Hamilton Rd, Peoria, IL 61614-3711 | 2017-07-05 |
| 1154338184 | Osf Healthcare System | Durable Medical Equipment & Medical Supplies | 5405 N Knoxville Ave Ste 300, Peoria, IL 61614-5016 | 2006-08-02 |
| 1659362499 | Osf Healthcare System | Skilled Nursing Facility | 5533 N Galena Rd, Peoria Heights, IL 61616-4447 | 2005-11-01 |
| 1730788902 | Osf Healthcare System | Clinic/Center | 235 E Penn Ave, Roseville, IL 61473-5006 | 2020-10-20 |
| 1891327268 | Osf Healthcare System | Clinic/Center | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2020-02-04 |
| 1568008324 | Osf Healthcare System | Home Health | 9800 Southwest Hwy, Oak Lawn, IL 60453-3617 | 2019-11-26 |
| 1821634684 | Osf Healthcare System | Hospice Care, Community Based | 9800 Southwest Hwy, Oak Lawn, IL 60453-3617 | 2019-11-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OSF HEALTHCARE SYSTEM | 800 Ne Glen Oak Ave, Peoria, IL 61603-3255 |
| Street Address |
1501 INTERSTATE DR STE C |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093208712 | Osf Healthcare System | Hospice Care, Community Based | 1501 Interstate Dr Ste C, Champaign, IL 61822-1007 | 2018-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| 1841550639 | Rebecca C. Sigmon Hernandez | Speech-Language Pathologist | 3719 Summer Sage Ct, Champaign, IL 61822 | 2012-05-25 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461213 | Chantel Coad | Home Health | 701 Devonshire Dr Ste B13, Champaign, IL 61820-7328 | 2020-09-09 |
| 1457758278 | Forever Strong | Home Health | 1014 S Duncan Rd, Champaign, IL 61821-4040 | 2014-11-21 |
| 1841537503 | Lhcg Xxxvii, LLC | Home Health | 2004 Fox Dr Ste E, Champaign, IL 61820-7357 | 2013-01-14 |
| 1902133754 | Abilicare, LLC | Home Health | 2418 W Springfield Ave, Champaign, IL 61821-2812 | 2009-11-13 |
| 1710144092 | Addus Healthcare Inc | Home Health | 1817 S Neil St Ste A, Champaign, IL 61820-7263 | 2008-05-22 |
| 1336318328 | Alpha-care Health Professionals, LLC | Home Health | 115 N Neil St, Suite 106, Champaign, IL 61820-4024 | 2008-02-25 |
| 1619151891 | Senior and Child Homecare Svc | Home Health | 10 Henson Pl, Suite 4, Champaign, IL 61820-7836 | 2007-12-24 |
| 1679603831 | Diversified Health Care Services, Inc | Home Health | 510 W Park Ave, Champaign, IL 61820-3971 | 2007-03-06 |
| 1174607659 | Senior and Familyhomecare Service | Home Health | 1501 Bluegrass Ln, Champaign, IL 61822-2074 | 2006-10-24 |
| 1659320869 | Presence Home Care | Home Health | 1501 Interstate Dr, Champaign, IL 61822-1006 | 2006-05-08 |
| Find all providers in CHAMPAIGN | ||||
Please comment or provide details below to improve the information on OSF HEALTHCARE SYSTEM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.