Petersen Health Care Ll, Inc. in Mount Vernon - Nursing Facility/intermediate Care Facility
Petersen Health Care Ll, Inc. - NPI 1659471993
Petersen Health Care Ll, Inc. is a Nursing Facility/intermediate Care Facility in Mount Vernon, Illinois. Petersen Health Care Ll, Inc. practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Petersen Health Care Ll, Inc. is 1659471993. The last update date is 2020-08-22.
Petersen Health Care Ll, Inc.'s current location address is 1717 Jefferson Ave, Mount Vernon, Illinois. You can contact this provider via phone number 9999999999. The mailing address for Petersen Health Care Ll, Inc. is 1717 Jefferson Ave, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petersen Health Care Ll, Inc. |
|---|---|
| Address | 1717 Jefferson Ave, Mount Vernon, Illinois |
| Phone Number | 9999999999 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Petersen B. Mark |
| Telephone Number | 3096918113 |
NPI Number Detail
| NPI Number | 1659471993 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1717 Jefferson Ave |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628644330 |
| Phone Number | 9999999999 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 47902 |
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Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Post Comment/ Review Below
What is the Petersen Health Care Ll, Inc.'s 1659471993?
The Petersen Health Care Ll, Inc.'s NPI (National Provider Identifier) Number is 1659471993. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Petersen Health Care Ll, Inc. is located?
The Petersen Health Care Ll, Inc. is situated at the following address: 1717 Jefferson Ave, Mount Vernon, IL, 628644330.
What is the Petersen Health Care Ll, Inc.'s area of specialization and corresponding taxonomy classification?
The Petersen Health Care Ll, Inc.'s specialty field is Nursing Facility/intermediate Care Facility, and it falls under the taxonomy code 313M00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659471993 to Petersen Health Care Ll, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1659471993 to Petersen Health Care Ll, Inc. on 2006-09-25.
When was the information regarding Petersen Health Care Ll, Inc. most recently updated?
The details pertaining to the Petersen Health Care Ll, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.