Decatur Rehabilitation & Health Care Center

LBN: Decatur Hco, Llc
Decatur Rehabilitation & Health Care Center is an health care organization with primary practice located at 136 S Dipper Ln , Decatur IL 62522-1841. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Decatur Hco, Llc can be contacted via phone (217) 428-7767, or through Petersen, Mark B. via phone (309) 689-5880.

Contact Information

Primary practice address
136 S Dipper Ln Decatur IL 62522-1841
Phone: (217) 428-7767
Fax: (217) 428-7454
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Mark B.
Phone: (309) 689-5880

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0043455 Illinois

Profile Details

NPI number 1063459329
LBN Legal business name Decatur Hco, Llc
DBA Doing business as Decatur Rehabilitation & Health Care Center
Authorized official Petersen, Mark B.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Dec 10th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063459329 NPPES
Illinois MEDICAID 20-3224201009

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