Petersen Management Company, Llc in Peoria - Skilled Nursing Facility
Petersen Management Company, Llc - NPI 1487610291
Petersen Management Company, Llc is a Skilled Nursing Facility in Peoria, Illinois. Petersen Management Company, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Petersen Management Company, Llc is 1487610291. The last update date is 2013-05-23.
Petersen Management Company, 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 Petersen Management Company, Llc is 830 W Trailcreek Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petersen Management Company, Llc |
|---|---|
| Address | 830 W Trailcreek Dr, Peoria, Illinois |
| Phone Number | 3096918113 |
| Fax Number | 3096918622 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Petersen B. Mark |
| Telephone Number | 3096918113 |
NPI Number Detail
| NPI Number | 1487610291 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2013-05-23 |
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 | 46037 |
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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 |
|---|---|---|---|
| 74-3055934001 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Petersen Management Company, Llc by the Centers for Medicare & Medicaid Services?
The Petersen Management Company, Llc has been assigned the NPI (National Provider Identifier) 1487610291 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Petersen Management Company, Llc is geographically located?
The Petersen Management Company, Llc is physically situated at the following location: 830 W Trailcreek Dr, Peoria, IL, 616141862.
What is Petersen Management Company, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Petersen Management Company, Llc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
When did Petersen Management Company, Llc receive its 1487610291 assignment?
The Petersen Management Company, Llc was assigned its 1487610291 on 2006-04-21, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Petersen Management Company, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Petersen Management Company, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-23.