Organization · Type 2 NPI

Westside Hco, LLC

Skilled Nursing Facility · West Frankfort, IL

NPI number 1811139876 Active

Practice location

601 N Columbia St
West Frankfort, IL 62896-1859

Call (618) 932-2109 Map

Mailing address

830 W Trailcreek Dr
Peoria, IL 61614-1862

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	0053488 (IL)

Skilled Nursing Facility: (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

4 other providers at this address

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NPI record

NPI: 1811139876
Entity type: Organization (Type 2)
Issued: Apr 6, 2009
Last updated: Dec 2, 2020
Status: Active

Other names

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Westside Rehabilitation & Care Center · doing business as
Westside Rehabilitation & Care Center · doing business as

Authorized official

Mark B. Petersen
Manager
(309) 689-5880

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1811139876

Westside Hco, LLC's National Provider Identifier is 1811139876, issued on Apr 6, 2009. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in West Frankfort, IL. The record was last updated on Dec 2, 2020.