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Decatur Hco, Llc
Nursing Facility/Intermediate Care Facility in Decatur, Illinois
NPI 1063459329

Decatur Hco, Llc is a Nursing Facility/Intermediate Care Facility based in Peoria, IL. Decatur Hco, Llc practices in Decatur, IL. The NPI Number for Decatur Hco, Llc is 1063459329 and holds a License No. 0043455 (Illinois).

The current practice location address for Decatur Hco, Llc is 136 S Dipper Ln, Decatur, IL and can be reached out via phone at 217-428-7767 and via fax at 217-428-7454. You can also correspond with Decatur Hco, Llc through the mailing address at 830 W TRAILCREEK DR, PEORIA, IL - 61614-1862 (mailing address contact number: 309-691-8113).

Location: 136 S Dipper Ln, Decatur, IL, 61614-1862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063459329
Provider Name
Decatur Hco, Llc
Credential
Provider Entity Type
Organization
Address
136 S Dipper Ln, Decatur, IL, 61614-1862
Phone Number
217-428-7767
Fax Number
217-428-7454
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20-3224201009 05 IL
institution
Provider Business Practice Location Address Details
Address
136 S Dipper Ln
City
Decatur
State
Illinois
Zip
62522-1841
Phone Number
217-428-7767
Fax Number
217-428-7454
person
Provider Business Mailing Address Details
Address
830 W Trailcreek Dr
City
Peoria
State
Illinois
Zip
61614-1862
Phone Number
309-691-8113
Fax Number
309-691-8622
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
0043455 (Illinois)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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