Eastview Hco, LLC
Organization Active NPI Skilled Nursing Facility · Sullivan, IL
NPI 1700843448 · NPPES record last updated Sep 28, 2020
Key facts
- NPI
- 1700843448
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0046060 (IL)
- Legal business name
- EASTVIEW HCO, LLC
- Practice address
- 100 Eastview PL
Sullivan, IL 61951-1674 - Phone
- (217) 728-7367
- Fax
- (217) 728-2112
- NPI assigned
- Apr 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PETERSEN HEALTH CARE, INC
Authorized official
- Name
- Mark B. Petersen
- Title
- Manager
- Phone
- (309) 689-5880
National Provider Directory
- Part of
- Petersen Health Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0046060 | IL | Yes |
Addresses
Primary practice location
100 Eastview PL
Sullivan, IL 61951-1674
Mailing address
830 W Trailcreek Dr
Peoria, IL 61614-1862
Phone (309) 691-8113
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37-1068286009 | Medicaid | IL |
Other names
- Eastview Terrace
Other providers in Sullivan, IL
- Dearnbarger Family Practice S.C.
- Decatur Memorial Hospital
- Lisa Dickens
- Erin E Donovan
- Eastview Hco, LLC
- Eastview Healthcare & Senior Living LLC
- Eastview Terrace
- Laura Ellis
- Carsen Evans
- Faisal Bukhari MD SC
All providers in Sullivan, 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 Sep 28, 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.