Petersen Management Company, LLC
NPI 1780767897ActiveOrganization· Nursing Facility/Intermediate Care Facility· Mount Vernon, IL
Nursing Facility/Intermediate Care Facility in Mount Vernon, Illinois, registered in NPPES in October 2006, part of Petersen Health Care II, Inc. The authorized official on file is Mark B. Petersen, President.
Overview
| NPI | 1780767897 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Petersen Health Care II, Inc. |
| NPI issued | Oct 23, 2006 |
| Last updated in NPPES | May 30, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 0039800 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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