Petersen Companies, LLC
Organization Active NPI Skilled Nursing Facility · El Paso, IL
NPI 1548411705 · NPPES record last updated Oct 7, 2008
Key facts
- NPI
- 1548411705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0046706 (IL)
- Legal business name
- PETERSEN COMPANIES, LLC
- Practice address
- 850 E 2ND St
El Paso, IL 61738-1309 - Phone
- (309) 527-2700
- NPI assigned
- Oct 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Mark Petersen
- Title
- Manager
- Phone
- (309) 691-8113
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Flora Gardens Care Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0046706 | IL | Yes |
Addresses
Primary practice location
850 E 2ND St
El Paso, IL 61738-1309
Mailing address
830 W Trailcreek Dr
Peoria, IL 61614-1862
Phone (309) 691-8113
Other names
- El Paso Health Care Center
Other providers in El Paso, IL
- Airn Houlahan
- Steven C. Ingalsbe
- Daniel Chester Luban
- McCarthy Counseling
- Abby Jane McCarthy
- Katie Russow
- Saint James Hospital
- Megan Leanne Traeger
- Jean-Marie Tyner
- Jan Wilson
All providers in El Paso, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.