Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETERSEN HEALTH CARE LL, INC.
Active OrganizationNursing Facility/Intermediate Care Facility · MOUNT VERNON, IL
Registration Details
- NPI Number
- 1659471993
- Provider Type
- Organization
- NPI Issued
- Sep 25, 2006 (19.57137387864 yrs)
- Last Updated
- Aug 22, 2020
- License
-
0047902 (IL)
Practice Information
- Address
-
1717 JEFFERSON AVEMOUNT VERNON, IL, 628644330Browse IL providers · Browse ZIP 62864
- Phone
- 9999999999
- Primary Specialty
-
Nursing Facility/Intermediate Care Facility
313M00000X
Other Nursing Facility/Intermediate Care Facility Organizations in MOUNT VERNON, IL
| Name | NPI |
|---|---|
| CARAVILLA RESIDENTIAL CENTERS, INC | 1659363661 |
| CARAVILLA RESIDENTIAL CENTERS, INC | 1184616195 |
| PETERSEN MANAGEMENT COMPANY, LLC | 1780767897 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.