Pa Peterson Center For Health

LBN: Lutheran Social Services Of Illinois
Pa Peterson Center For Health is an health care organization with primary practice located at 1311 Parkview Ave , Rockford IL 61107-1899. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Lutheran Social Services Of Illinois can be contacted via phone (815) 399-8832, or through Noonduv, Gerald Edmund via phone (847) 635-4600.

Contact Information

Primary practice address
1311 Parkview Ave Rockford IL 61107-1899
Phone: (815) 399-8832
Fax: (815) 399-8342
Website:
Map and Directions
Authorized official contact:
Name: Noonduv, Gerald Edmund
Phone: (847) 635-4600

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0021238 Illinois

Profile Details

NPI number 1427048826
LBN Legal business name Lutheran Social Services Of Illinois
DBA Doing business as Pa Peterson Center For Health
Authorized official Noonduv, Gerald Edmund
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2005
Last updated Aug 22nd, 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 1427048826 NPPES
Illinois MEDICAID 0021238

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