Shelbyville Hco, Llc in Peoria - Skilled Nursing Facility
Shelbyville Hco, Llc - NPI 1518990704
Shelbyville Hco, Llc is a Skilled Nursing Facility in Peoria, Illinois. Shelbyville Hco, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Shelbyville Hco, Llc is 1518990704. The last update date is 2020-09-09.
Shelbyville 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 Shelbyville Hco, Llc is 830 W Trailcreek Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shelbyville 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 | 1518990704 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2020-09-09 |
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 | 47563 |
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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 |
|---|---|---|---|
| 203224201018 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shelbyville Hco, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Shelbyville Hco, Llc has been assigned the NPI (National Provider Identifier) 1518990704. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Shelbyville Hco, Llc's facilities are situated?
The facilities of Shelbyville Hco, Llc are physically located at the following address: 830 W Trailcreek Dr, Peoria, IL, 616141862.
What is Shelbyville Hco, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shelbyville Hco, Llc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
When did the Shelbyville Hco, Llc receive its 1518990704?
The Shelbyville Hco, Llc was issued its 1518990704 on 2006-07-09, which is the date when the organization was assigned this unique identifier.
When was the information related to Shelbyville Hco, Llc most recently updated or refreshed?
The details pertaining to the Shelbyville Hco, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-09-09.
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