Marigold Hco Llc in Peoria - Skilled Nursing Facility
Marigold Hco Llc - NPI 1861670176
Marigold Hco Llc is a Skilled Nursing Facility in Peoria, Illinois. Marigold Hco Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Marigold Hco Llc is 1861670176. The last update date is 2020-03-11.
Marigold Hco Llc's current location address is 830 W Trailcreek Dr, Peoria, Illinois. You can contact this provider via phone number 3096918113. The mailing address for Marigold Hco Llc is 830 W Trailcreek Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marigold Hco Llc |
|---|---|
| Address | 830 W Trailcreek Dr, Peoria, Illinois |
| Phone Number | 3096918113 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Petersen Mark |
| Telephone Number | 3096895880 |
NPI Number Detail
| NPI Number | 1861670176 |
|---|---|
| Provider Enumeration Date | 2008-02-08 |
| Last Updated Date | 2020-03-11 |
Provider Mailing Address Detail
| Address | 830 W Trailcreek Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616141862 |
| Phone Number | 3096918113 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 31245 |
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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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What is the unique provider identifier assigned to Marigold Hco Llc?
The Marigold Hco Llc has been issued the NPI (National Provider Identifier) 1861670176 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 physical address where Marigold Hco Llc is located?
The Marigold Hco Llc is situated at the following address: 830 W Trailcreek Dr, Peoria, IL, 616141862.
What is Marigold 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 Marigold Hco Llc is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
On what date did Marigold Hco Llc receive its 1861670176 assignment from the Centers for Medicare & Medicaid Services?
The Marigold Hco Llc was assigned its 1861670176 on 2008-02-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Marigold Hco Llc's details last updated?
The information pertaining to the Marigold Hco Llc, including its address, specialty, and other details, was most recently updated on 2020-03-11.