OSF Hospice-Eastern Region – Community Based Hospice Care Agency, NPI 1013945583
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for OSF Hospice-Eastern Region
1701 E COLLEGE AVE
BLOOMINGTON, IL 617042101
Phone: (309) 451-5925
Fax: (309) 451-8278
Type: Location
124 SW ADAMS ST
PEORIA, IL 616021308
Phone: (309) 655-2850
Type: Mailing
2265, West Altorfer Drive, Peoria, Peoria County, Illinois, 61615, United States
PEORIA, IL 616151807
Phone: (309) 683-7700
Type: Mailing
211, Landmark Drive, Landmark Subdivision, Normal, McLean County, Illinois, 61761, United States
SUITE D3
NORMAL, IL 617612160
Phone: (309) 451-5925
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-02-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110222000279 | O | Hospice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61704)
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