NPIMap

Organization Active NPI

Unlimited Development Inc.

Doing business as UDI 10 Pekin Manor

  • Skilled Nursing Facility
  • Pekin, IL
National Provider Identifier
1760479505
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
47969 Issued in IL
Legal business name
UNLIMITED DEVELOPMENT INC.
Doing business as
UDI 10 Pekin Manor
Practice address
1520 El Camino Drive
Pekin, IL 61554-6062
Phone
(309) 353-1099
Fax
(866) 534-7414
NPI assigned
Oct 5, 2005
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ronald J Wilson
Title
Cfo
Phone
(309) 343-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 47969 IL Primary

Addresses

Primary practice location

1520 El Camino Drive
Pekin, IL 61554-6062

Mailing address

1520 El Camino Drive
Pekin, IL 61554-6062
Phone (309) 353-1099

Other identifiers 1

IdentifierTypeStateIssuer
371514555001MedicaidIL

Other names 1

  • UDI 10 Pekin Manor Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090824000106 IL Part A Provider - Skilled Nursing Facility 6901995513 Practice locations: Pekin, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760479505. Details of each certification follow.

Skilled nursing facility certification: CCN 145597

Legal name
UNLIMITED DEVELOPMENT, INC
Doing business as
PEKIN MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1988
Last certification
Sep 26, 2024
Beds
130
Ownership / control type
Nonprofit Corporation
Multi-facility organization
RFMS
Organization structure
CorporationNon-profit
Incorporated
May 17, 1996 in IL
Enrollment address
1520 El Camino Dr
Pekin, IL 61554-6062
Nursing home name
PEKIN MANOR
Affiliated entity
UNLIMITED DEVELOPMENT, INC.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pekin ManorCCN 145597 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 1, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13097.1 residents per day on average
Chain
Unlimited Development, Inc.10 facilities in the chain
Penalties (3 years)
1Fines totaling $9,110

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0666390Pekin Manor1520 El Camino Dr, Pekin, IL 61554Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Unlimited Development Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Audrey J Finke Individual Corporate DirectorDirector Aug 30, 2018
Jerry D Gilmore Individual Corporate Director Apr 26, 2006
Ronald J Wilson Individual Corporate OfficerChief Financial Officer Aug 30, 2018
David S Haney Individual Corporate Director Apr 26, 2006
Michelle Urnikis Individual W-2 Managing EmployeeAdministrator Sep 4, 2018
Unlimited Development, Inc Organization, Pekin, IL 5% Or Greater Direct Ownership Interest Jun 1, 2009
Robert H Wagner Individual Corporate OfficerPresident of Board of Directors Aug 30, 2018
Corporate DirectorDirector Apr 26, 2006
Udi# 10, LLC Organization, Pekin, IL Operational/Managerial Control Jun 1, 2009

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Manor Court of MaryvilleMaryville, IL, CCN 145728 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control		 Jan 7, 2014
Jan 16, 2014
Seminary ManorGalesburg, IL, CCN 145598 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2009
Parkway ManorMarion, IL, CCN 145841 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2009
Centralia ManorCentralia, IL, CCN 145666 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jun 1, 2009
River Hills VillageKeokuk, IA, CCN 165396 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2010

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational 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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1760479505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 EL CAMINO DRIVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546062",
            "telephone_number": "309-353-1099",
            "fax_number": "866-534-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 EL CAMINO DRIVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546062",
            "telephone_number": "309-353-1099",
            "fax_number": "866-534-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED DEVELOPMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-343-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "47969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371514555001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UDI 10 Pekin Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pekin, IL

Sources for this page

Verify at the official NPI Registry.