NPIMap

Organization Active NPI

Residential Alternatives of Illinois, Inc.

Doing business as Manor Court of Peru

  • Skilled Nursing Facility
  • Peru, IL
National Provider Identifier
1932174000
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0047316 Issued in IL
Legal business name
RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC.
Doing business as
Manor Court of Peru
Practice address
3230 Becker Dr
Peru, IL 61354
Phone
(815) 220-1400
Fax
(815) 220-1581
NPI assigned
Feb 21, 2006
Last updated
Aug 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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 0047316 IL Primary

Addresses

Primary practice location

3230 Becker Dr
Peru, IL 61354

Mailing address

3230 Becker Dr
Peru, IL 61354-1419
Phone (815) 220-1400

Other names 1

  • Manor Court of Peru Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051129000373 IL Part A Provider - Skilled Nursing Facility 0941197354 Practice locations: Peru, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932174000. Details of each certification follow.

Skilled nursing facility certification: CCN 146091

Legal name
RESIDENTIAL ALTERNATIVES OF ILLINOIS INC
Doing business as
MANOR COURT OF PERU
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 19, 2005
Last certification
Oct 31, 2024
Beds
130
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 13, 1987 in IL
Enrollment address
3230 Becker Dr
Peru, IL 61354-1419
Nursing home name
MANOR COURT OF PERU
Affiliated entity
RESIDENTIAL ALTERNATIVES OF ILLINOIS

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Manor Court of PeruCCN 146091 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 19, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130109.4 residents per day on average
Chain
Residential Alternatives of Illinois7 facilities in the chain
Penalties (3 years)
1Fines totaling $21,645

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
14D1035772Manor Court of Peru3230 Becker Drive, Peru, IL 61354Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Residential Alternatives of Illinois Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

3230 Becker Dr
Peru, IL 61354
Phone (815) 220-1400

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Residential Alternatives of Illinois Inc Organization, Galesburg, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 10, 2022 100%
Darcee Fanning Individual Other Aug 1, 2013
Ronald J Wilson Individual Corporate OfficerChief Financial Officer Aug 13, 2018
William L Kempiners Individual Corporate DirectorBoard Member Aug 1, 2013
Jeffrey W. Shaw Individual Corporate OfficerSecretary of Board of Directors Aug 1, 2013
Corporate DirectorBoard Member Aug 1, 2013
John M Bibo Individual Other Aug 30, 2013
John P Kniery Individual Corporate DirectorBoard Member Aug 1, 2013
Lorrie Renee Lieske Individual W-2 Managing EmployeeAdministrator Aug 6, 2018
Jon D Zellman Individual Other Aug 30, 2013
Jon B Sharer Individual Other Aug 30, 2013

Owners & managing parties with NPI records 6

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 PrincetonPrinceton, IL, CCN 146083 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 3, 2005
Manor Court of FreeportFreeport, IL, CCN 146102 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 9, 2006
Hawthorne Inn of DanvilleDanville, IL, CCN 146090 Skilled nursing facility Operational/Managerial Control (100%) Mar 10, 2022
Windmill ManorCoralville, IA, CCN 165545 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 6, 2022
Manor Court of RochelleRochelle, IL, CCN 146193 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 17, 2020

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 4

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": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1932174000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 BECKER DR",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541419",
            "telephone_number": "815-220-1400",
            "fax_number": "815-220-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 BECKER DR",
            "city": "PERU",
            "state": "IL",
            "postal_code": "61354",
            "telephone_number": "815-220-1400",
            "fax_number": "815-220-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2018-08-16",
        "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": "0047316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manor Court of Peru",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manor Court of Peru",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peru, IL

Sources for this page

Verify at the official NPI Registry.