Petersen Health Operations, LLC
NPI 1235176504ActiveOrganization· Skilled Nursing Facility· East Peoria, IL
Skilled Nursing Facility in East Peoria, Illinois, registered in NPPES in June 2006. The authorized official on file is Mark B. Petersen, General Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1235176504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 2, 2006 |
| Last updated in NPPES | Jan 19, 2022 |
| Certified by provider | Jan 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 0047472 | 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) |
|---|
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