Aspen Hco, LLC
Organization Active NPI Nursing Facility/Intermediate Care Facility · Silvis, IL
NPI 1609864263 · NPPES record last updated Dec 17, 2020
Key facts
- NPI
- 1609864263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 0043737 (IL)
- Legal business name
- ASPEN HCO, LLC
- Practice address
- 1403 9TH Ave
Silvis, IL 61282-1757 - Phone
- (309) 796-2600
- Fax
- (309) 796-2981
- NPI assigned
- Oct 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Mark Petersen
- Title
- Manager
- Phone
- (309) 691-8113
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Aspen Hco LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0043737 | IL | Yes |
Addresses
Primary practice location
1403 9TH Ave
Silvis, IL 61282-1757
Mailing address
830 W Trailcreek Dr
Peoria, IL 61614-1862
Phone (309) 691-8113
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203224201002 | Medicaid | IL |
Other names
- Aspen Rehab & Health Care
Other providers in Silvis, IL
- Linda Marie Anders
- Leigh Andress
- Leighton V Arcenas
- Priscilla Perry Arnold
- Aspen Hco, LLC
- Athletico LTD
- Anna Atkinson
- Avenues at Quad Cities LLC
- Avenues at Quad Cities LLC
- Rosario Bartolomeo
All providers in Silvis, IL · Nursing Facility/Intermediate Care 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 Dec 17, 2020. 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.