Petersen Health Operations, LLC
NPI 1225071442ActiveOrganization· Nursing Facility/Intermediate Care Facility· Cisne, IL
Nursing Facility/Intermediate Care Facility in Cisne, Illinois, registered in NPPES in June 2006. The authorized official on file is Mark B. Petersen, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1225071442 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2006 |
| Last updated in NPPES | Jan 19, 2022 |
| Certified by provider | Jan 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 0047423 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (IL) |
|---|
Other Nursing Facility/Intermediate Care Facility providers in Cisne
- 1225981558
All Nursing Facility/Intermediate Care Facility providers in Illinois →