MEDICARE: THE CARLE FOUNDATION HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1000082	IL

General Provider Information

NPI Number	:	1891780615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CARLE FOUNDATION HOSPITAL

Provider Business Mailing Address
First Line	:	611 W PARK
Second Line	:
City	:	URBANA
State	:	IL
Zip	:	61801
Country	:	US
Telephone Number	:	217-383-3311
Fax Number	:	217-355-8133

Provider Business Practice Location Address
First Line	:	4116 FIELDSTONE RD
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61822-8801
Country	:	US
Telephone Number	:	217-383-3488
Fax Number	:	217-355-8133

Authorized Official
Title or Position	:	CEO
Name	:	JAMES LEONARD
Credential	:
Telephone Number	:	217-383-3221

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	08/06/2025

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Directions to “THE CARLE FOUNDATION HOSPITAL ” Practice Location

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