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HENDERSON COUNTY HEALTH DEPARTMENT HOSPICE
NPI 1437425378
Hospice Care, Community Based in Gladstone, IL

Active since March 26, 2012CLIA 14D0646787 · Waiver
208 W ELM ST, GLADSTONE, IL 61437(309) 627-2812(309) 627-2305 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Henderson County Health Department Hospice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENDERSON COUNTY HEALTH DEPARTMENT HOSPICE (NPI 1437425378) is a healthcare organization registered as a hospice care, community based in Gladstone, Illinois and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Diana Seitz, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1437425378
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameHENDERSON COUNTY
Location Address208 W ELM STGladstone, IL 61437-5028
Mailing AddressPo Box 220Gladstone, IL 61437-0220 · (309) 627-2812 · Fax (309) 627-2305
Phone(309) 627-2812
Fax(309) 627-2305
Organization SubpartNo
Authorized OfficialDiana SeitzOffice Manager · (309) 627-2812
Enumeration DateMarch 26, 2012
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1437425378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in IL · 2002640
208 W ELM ST, Gladstone, IL 61437
Open in Google Maps ↗

Other Names 1

Doing Business AsHenderson County Health Department Hospice

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henderson County Health Department Hospice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20080123000772Part A · HospiceDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0646787

Henderson County Health Department · Gladstone, IL
Active · expires Aug 31, 2028
CLIA Number14D0646787
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorAngela Myers
Laboratory Phone(309) 627-2812
Laboratory LocationHenderson County Health Department208 West Elm Street, P O Box 220, Gladstone, IL 61437
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Henderson County Health Department Hospice (CMS certification number 141631), from CMS Care Compare.

Henderson County Health Department Hospice

Hospice · Gladstone, IL
OwnershipGovernment
CMS Certification Number141631
CMS RegionRegion 5
Medicare-Certified SinceJune 11, 2009
Location208 West Elm StreetGladstone, IL 61437 · Henderson County
Phone(309) 627-2812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henderson County's NPI number?

The NPI number for Henderson County is 1437425378. It was assigned to this organization in the NPPES registry on March 26, 2012. The provider is doing business as Henderson County Health Department Hospice.

Where is Henderson County located?

Henderson County is located at 208 W Elm St, Gladstone, IL 61437. The listed phone number is (309) 627-2812.

What is Henderson County's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Is Henderson County enrolled in Medicare?

Yes. Henderson County is registered in the Medicare PECOS enrollment system.

When is Henderson County's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Illinois, Hospice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Henderson County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0646787) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Henderson County a Medicare-certified hospice?

Yes. Henderson County Health Department Hospice is a Medicare-certified hospice (CMS certification number 141631), certified since June 11, 2009.

When was this NPI record last updated?

The NPPES record for Henderson County was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.