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Petersen Management Company, Llc
Skilled Nursing Facility in Mattoon, Illinois
NPI 1487610291

Petersen Management Company, Llc is a Skilled Nursing Facility based in Peoria, IL. Petersen Management Company, Llc practices in Mattoon, IL. The NPI Number for Petersen Management Company, Llc is 1487610291 and holds a License No. 0046037 (Illinois).

The current practice location address for Petersen Management Company, Llc is 1000 Palm Ave, Mattoon, IL and can be reached out via phone at 217-234-7403 and via fax at 217-258-6642.

Location: 1000 Palm Ave, Mattoon, IL, 61614-1862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487610291
Provider Name
Petersen Management Company, Llc
Credential
Provider Entity Type
Organization
Address
1000 Palm Ave, Mattoon, IL, 61614-1862
Phone Number
217-234-7403
Fax Number
217-258-6642
Provider Enumeration Date
04/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74-3055934001 05 IL
institution
Provider Business Practice Location Address Details
Address
1000 Palm Ave
City
Mattoon
State
Illinois
Zip
61938-6031
Phone Number
217-234-7403
Fax Number
217-258-6642
person
Provider Business Mailing Address Details
Address
1000 Palm Ave
City
Mattoon
State
Illinois
Zip
61938-6031
Phone Number
217-234-7403
Fax Number
217-258-6642
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0046037 (Illinois)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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