Illini Heritage Rehab & Health Care

LBN: Petersen Health Care - Illini, Llc
Illini Heritage Rehab & Health Care is an health care organization with primary practice located at 1315 Curt Drive , Champaign IL 61820. 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. Petersen Health Care - Illini, Llc can be contacted via phone (217) 352-5707, or through Petersen, Mark B. via phone (309) 691-8113.

Contact Information

Primary practice address
1315 Curt Drive Champaign IL 61820
Phone: (217) 352-5707
Fax: (217) 352-2607
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Mark B.
Phone: (309) 691-8113

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0042440 Illinois

Profile Details

NPI number 1619083730
LBN Legal business name Petersen Health Care - Illini, Llc
DBA Doing business as Illini Heritage Rehab & Health Care
Authorized official Petersen, Mark B.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Feb 14th, 2024 - about 9 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619083730 NPPES
Illinois MEDICAID 300318970007

Popular Providers