IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
NPI 1841295763
Hospice Care, Community Based in Watseka, IL

NPI Status: Active since June 16, 2005

Contact Information

200 E FAIRMAN AVE
WATSEKA, IL
ZIP 60970
Phone: (815) 432-0185
Fax: (815) 432-6199

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  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance

About IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME

This page provides the complete NPI Profile along with additional information for Iroquois Memorial Hospital And Resident Home, a provider established in Watseka, Illinois operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1841295763 assigned on June 2005. The practitioner's primary taxonomy code is 251G00000X with license number 2002400 (IL). The provider is registered as an organization and their NPI record was last updated May 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Michael Tilstra (Ceo)

NPI
1841295763
Provider Legal Name
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
200 E FAIRMAN AVE WATSEKA, IL 60970
Location Phone
(815) 432-0185
Location Fax
(815) 432-6199
Mailing Address
200 E FAIRMAN AVE WATSEKA, IL 60970
Mailing Phone
(815) 432-0185
Mailing Fax
(815) 432-6199
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2005
Last Update Date
05-29-2026
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According to the Hospice Quality Reporting Program (HQRP) data this facility is other and was certified on 11-04-2004 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
2002400
License State
IL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207QH0002XAllopathic & Osteopathic Physicians

Family Medicine
Hospice and Palliative Medicine

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL TILSTRA

Authorized Official Title
CEO
Authorized Official Phone
(815) 432-7777

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
50344OTHER (01)ILBCBS PROVIDER #

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)141616
Ownership TypeOther
Medicare Certification Date11-04-2004
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
31.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
1
Care Provided in Home
Percentage of days patients received care in home
45
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
11
Care Provided in All other locations
Percentage of days patients received care in other locations
2
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
41
Hospice and Palliative Care Treatment Preferences
Facility observed rate
Not Available - Data not submitted for this reporting period.
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Pain Screening
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Pain Assessment
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
Not Available - Data not submitted for this reporting period.
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Composite Process Measure
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice Visits in the Last Days of Life
187
Hospice Visits in the Last Days of Life
Facility observed rate
81.8
Hospice Care Index Overall Score
Facility observed rate
10.0
CHC/GIP provided (% days)
21,083
CHC/GIP provided (% days)
Facility observed rate
0.4
CHC/GIP provided (% days)
80
Gaps in nursing visits (% elections)
117
Gaps in nursing visits (% elections)
Facility observed rate
53.8
Gaps in nursing visits (% elections)
49
Early live discharges (% live discharges)
18
Early live discharges (% live discharges)
Facility observed rate
0.0
Early live discharges (% live discharges)
19
Late live discharges (% live discharges)
18
Late live discharges (% live discharges)
Facility observed rate
38.9
Late live discharges (% live discharges)
49
Burdensome transitions, Type 1(% live discharges)
18
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
0.0
Burdensome transitions, Type 1 (% live discharges)
19
Burdensome transitions, Type 2(% live discharges)
18
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
0.0
Burdensome transitions, Type 2 (% live discharges)
43
Per-beneficiary spending (U.S. dollars $)
313
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
10,529
Per-beneficiary spending (U.S. dollars $)
16
Nurse care minutes per routine home care days (minutes)
20,943
Nurse care minutes per routine home care days (minutes)
Facility observed rate
10.7
Nurse care minutes per routine home care days (minutes)
32
Skilled nursing minutes on weekends (% minutes)
223,800
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
8.2
Skilled nursing minutes on weekends (% minutes)
53
Visits near death (% decedents)
265
Visits near death (% decedents)
Facility observed rate
97.4
Visits near death (% decedents)
83
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
22
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
13
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
16
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
8
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
9
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1841295763, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 8 + 1 + 4 + 9 + 1 + 0 + 7 + 1 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1841295763.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
200 E FAIRMAN AVE
WATSEKA, IL 60970
Emergency Medicine
200 E FAIRMAN AVE
WATSEKA, IL 60970
Orthopaedic Surgery
200 E FAIRMAN AVE
WATSEKA, IL 60970
Emergency Medicine
200 E FAIRMAN AVE
WATSEKA, IL 60970
Radiology (Diagnostic Radiology)
200 E FAIRMAN AVE
WATSEKA, IL 60970
Radiology (Diagnostic Radiology)
200 E FAIRMAN AVE
WATSEKA, IL 60970
Medicare Defined Swing Bed Unit
200 E FAIRMAN AVE
WATSEKA, IL 60970
Emergency Medicine
200 E FAIRMAN AVE
WATSEKA, IL 60970
Surgery
200 E FAIRMAN AVE
WATSEKA, IL 60970
Nurse Practitioner (Family)
200 E FAIRMAN AVE
WATSEKA, IL 60970
Orthopaedic Surgery
200 E FAIRMAN AVE
WATSEKA, IL 60970
Emergency Medicine
200 E FAIRMAN AVE
WATSEKA, IL 60970
Emergency Medicine
200 E FAIRMAN AVE
WATSEKA, IL 60970
Emergency Medicine
200 E FAIRMAN AVE
WATSEKA, IL 60970
Emergency Medicine
200 E FAIRMAN AVE
WATSEKA, IL 60970
Dietitian, Registered
200 E FAIRMAN AVE
WATSEKA, IL 60970
Nurse Anesthetist, Certified Registered
200 E FAIRMAN AVE
WATSEKA, IL 60970
Pharmacy (Community/Retail Pharmacy)
200 E FAIRMAN AVE
WATSEKA, IL 60970
Emergency Medicine
200 E FAIRMAN AVE
WATSEKA, IL 60970
Surgery
200 E FAIRMAN AVE
WATSEKA, IL 60970

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841295763, enumerated as an "organization" on June 16, 2005.

The provider is located at 200 E FAIRMAN AVE WATSEKA, IL 60970 and the phone number is (815) 432-0185.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: CareSource, Blue Cross Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.