Casey Hco, Llc in Peoria - Skilled Nursing Facility
Casey Hco, Llc - NPI 1093771800
Casey Hco, Llc is a Skilled Nursing Facility in Peoria, Illinois. Casey Hco, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Casey Hco, Llc is 1093771800. The last update date is 2020-09-15.
Casey Hco, Llc's current location address is 830 W Trailcreek Dr, Peoria, Illinois. You can contact this provider via phone number 3096918113 and fax number 3096918622. The mailing address for Casey Hco, Llc is 830 W Trailcreek Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Casey Hco, Llc |
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Address | 830 W Trailcreek Dr, Peoria, Illinois |
Phone Number | 3096918113 |
Fax Number | 3096918622 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGER |
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Authorized Official Name | Petersen B. Mark |
Telephone Number | 3096895880 |
NPI Number Detail
NPI Number | 1093771800 |
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Provider Enumeration Date | 2006-04-21 |
Last Updated Date | 2020-09-15 |
Provider Mailing Address Detail
Address | 830 W Trailcreek Dr |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616141862 |
Phone Number | 3096918113 |
Fax Number | 3096918622 |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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Taxonomy | 314000000X |
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
74-3055934007 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Casey Hco, Llc?
The Casey Hco, Llc has been issued the NPI (National Provider Identifier) 1093771800 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Casey Hco, Llc's facilities are situated?
The facilities of Casey Hco, Llc are physically located at the following address: 830 W Trailcreek Dr, Peoria, IL, 616141862.
What is the area of specialization for Casey Hco, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Casey Hco, Llc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
When was the Casey Hco, Llc's 1093771800 issued?
The Casey Hco, Llc's 1093771800 was issued on 2006-04-21.
As of what date was the information regarding Casey Hco, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Casey Hco, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-15.
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