Effingham Hco, Llc in Peoria - Skilled Nursing Facility
Effingham Hco, Llc - NPI 1336249614
Effingham Hco, Llc is a Skilled Nursing Facility in Peoria, Illinois. Effingham Hco, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Effingham Hco, Llc is 1336249614. The last update date is 2020-09-29.
Effingham 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 Effingham Hco, Llc is 830 W Trailcreek Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Effingham Hco, Llc |
|---|---|
| Address | 830 W Trailcreek Dr, Peoria, Illinois |
| Phone Number | 3096918113 |
| Fax Number | 3096918622 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Petersen B. Mark |
| Telephone Number | 3096895880 |
NPI Number Detail
| NPI Number | 1336249614 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2020-09-29 |
Provider Mailing Address Detail
| Address | 830 W Trailcreek Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616141862 |
| Phone Number | 3096918113 |
| Fax Number | 3096918622 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 45641 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200349783007 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Effingham Hco, Llc?
The Effingham Hco, Llc has been issued the NPI (National Provider Identifier) 1336249614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Effingham Hco, Llc is physically located?
The Effingham Hco, Llc is situated at the following address: 830 W Trailcreek Dr, Peoria, IL 616141862.
What is Effingham Hco, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Effingham Hco, Llc is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
When did Effingham Hco, Llc receive its 1336249614 assignment?
The Effingham Hco, Llc was assigned its 1336249614 on 2006-09-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Effingham Hco, Llc last refreshed?
The information related to the Effingham Hco, Llc, including its address, specialty, and other relevant details, was last updated on 2020-09-29.