Active NPI
Apostolic Christian Home
- Skilled Nursing Facility
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0006353
- Legal business name
- APOSTOLIC CHRISTIAN HOME
- Practice address
- 7023 NE Skyline Dr
Peoria, IL 61614-2207 - Phone
- (309) 691-8091
- Fax
- (309) 683-2505
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew James Feucht
- Title
- Administrator
- Phone
- (309) 691-8091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0006353 | IL | Primary |
Addresses
Primary practice location
7023 NE Skyline Dr
Peoria, IL 61614-2207
Mailing address
7023 NE Skyline Dr
Peoria, IL 61614-2207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111207000322 | IL | Part A Provider - Skilled Nursing Facility | 7315112174 | Practice locations: Peoria, IL |
Skilled nursing facility certification: CCN 145933
- Legal name
- APOSTOLIC CHRISTIAN HOME
- Doing business as
- APOSTOLIC CHRISTIAN SKYLINES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- May 1, 1997
- Last certification
- Oct 10, 2024
- Beds
- 62
- Ownership / control type
- Church Related
- Organization structure
- Corporation
- Enrollment address
- 7023 NE Skyline Dr
Peoria, IL 61614-2207 - Nursing home name
- APOSTOLIC CHRISTIAN SKYLINES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Apostolic Christian Skylines
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- May 1, 1997
- Medicare certification status
- Active
- Certified beds
- 62
National Provider Directory
National Provider DirectoryLocations
7023 NE Skyline Dr
Peoria, IL 61614
Phone (309) 683-2500
Ownership & related parties
All disclosed owners & managing parties 26
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Professional Therapy Services Inc | Operational/Managerial Control | Jan 1, 1995 | |
| Steve Aeschleman | Operational/Managerial Control | Oct 17, 2022 | |
| Dean Thomas | Operational/Managerial Control | Aug 10, 2009 | |
| Adp of the SNF | Aug 10, 2009 | ||
| Crystal Wettstein | Corporate Director | Jan 1, 2022 | |
| Rene Geary | Adp of the SNF | Mar 19, 2018 | |
| Gorenz and Associates, LTD | Operational/Managerial Control | Apr 10, 2025 | |
| Adp of the SNF | Apr 10, 2025 | ||
| Apostolic Christian Church of Peoria | 5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Robert Rein Cpa | Operational/Managerial Control | Apr 10, 2025 | |
| Adp of the SNF | Apr 10, 2025 | ||
| Larry S Lindahl | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Apr 10, 2025 | ||
| Michelle Pineda | Operational/Managerial Control | Nov 12, 2020 | |
| Michael J Waibel | Corporate Director | Jan 1, 2024 | |
| Matthew J Feucht | Corporate Director | Jul 1, 2008 | |
| Julie Draves | Operational/Managerial Control | Jan 8, 2020 | |
| David Berchtold | Corporate Director | Jan 1, 2022 | |
| Morton Community Bank | Operational/Managerial Control | Apr 3, 2025 | |
| Adp of the SNF | Apr 3, 2025 | ||
| Hannah Randel | Operational/Managerial Control | Mar 24, 2023 | |
| Bruce Graham | Corporate Officer | Jan 1, 2022 | |
| Jennifer Brown | Operational/Managerial Control | Sep 23, 2024 | |
| Adp of the SNF | Sep 23, 2024 | ||
| Shawn Tracey | Adp of the SNF | Apr 26, 2018 | |
| Stanley Schick | Corporate Officer | Jan 1, 2000 | |
| Yevett Smith | Operational/Managerial Control | Feb 15, 2020 | |
| Jeremy D Calame | Corporate Officer | Jan 1, 2025 | |
| Paul Knobloch | Corporate Director | Jan 1, 2023 | |
| Benj Hodel | Corporate Director | Jan 1, 2024 | |
| James Carlson | Corporate Director | Jan 1, 2020 | |
| Joanne Steffen | Corporate Director | Jan 1, 2025 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1770681629
Adp of the SNF, Operational/Managerial Control
-
- Physical Therapist
- Pekin, IL
- NPI 1578615225
Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323648000000",
"number": "1255345542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7023 NE SKYLINE DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7023 NE SKYLINE DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142207",
"telephone_number": "309-691-8091",
"fax_number": "309-683-2505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOSTOLIC CHRISTIAN HOME",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2011-12-12",
"status": "A",
"authorized_official_last_name": "FEUCHT",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "309-691-8091",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0006353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.