Organization · Type 2 NPI

Petersen Health Operations, LLC

Skilled Nursing Facility · Macomb, IL

NPI number 1841444601 Active

Practice location

400 W Grant St
Macomb, IL 61455-2867

Call (309) 837-2386 Map

Mailing address

830 W Trailcreek Dr
Peoria, IL 61614-1862

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	0047431 (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: 1841444601
Entity type: Organization (Type 2)
Issued: Nov 6, 2008
Last updated: Jan 28, 2020
Status: Active

Other names

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Countryview Care Center of Macomb · doing business as
Countryview Care Center of Macomb · doing business as

Authorized official

Mark Petersen
Manager
(309) 691-8113

Verify this record

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 1841444601

Petersen Health Operations, LLC's National Provider Identifier is 1841444601, issued on Nov 6, 2008. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Macomb, IL. The record was last updated on Jan 28, 2020.