Petersen Health Quality, Llc in Louisville - Intermediate Care Facility, Intellectual Disabilities
Petersen Health Quality, Llc - NPI 1598721383
Petersen Health Quality, Llc is a Intermediate Care Facility, Intellectual Disabilities in Louisville, Illinois. Petersen Health Quality, Llc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Petersen Health Quality, Llc is 1598721383. The last update date is 2014-10-12.
Petersen Health Quality, Llc's current location address is 52 Old Rte 45, Louisville, Illinois. You can contact this provider via phone number 6186864542 and fax number 6186862179. The mailing address for Petersen Health Quality, Llc is 52 Old Rte 45, Louisville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petersen Health Quality, Llc |
|---|---|
| Address | 52 Old Rte 45, Louisville, Illinois |
| Phone Number | 6186864542 |
| Fax Number | 6186862179 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Petersen B. Mark |
| Telephone Number | 3096918113 |
NPI Number Detail
| NPI Number | 1598721383 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2014-10-12 |
Provider Mailing Address Detail
| Address | 52 Old Rte 45 |
|---|---|
| City | Louisville |
| State | Illinois (IL) |
| Post Code | 628580116 |
| Phone Number | 6186864542 |
| Fax Number | 6186862179 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 46078 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37-1068286008 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Petersen Health Quality, Llc by the Centers for Medicare & Medicaid Services?
The Petersen Health Quality, Llc has been issued the NPI (National Provider Identifier) 1598721383 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Petersen Health Quality, Llc is located?
The Petersen Health Quality, Llc is situated at the following address: 52 Old Rte 45, Louisville, IL, 628580116.
What is Petersen Health Quality, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Petersen Health Quality, Llc is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1598721383 to Petersen Health Quality, Llc?
The Centers for Medicare & Medicaid Services assigned the 1598721383 to Petersen Health Quality, Llc on 2006-04-21.
As of what date were the details related to Petersen Health Quality, Llc most recently updated or revised?
The information pertaining to Petersen Health Quality, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2014-10-12.
NPI Number: 1730182858
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