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Petersen Health Care - Illini, Llc
Skilled Nursing Facility in Champaign, Illinois
NPI 1619083730

Petersen Health Care - Illini, Llc is a Skilled Nursing Facility based in Peoria, IL. Petersen Health Care - Illini, Llc practices in Champaign, IL. The NPI Number for Petersen Health Care - Illini, Llc is 1619083730 and holds a License No. 0042440 (Illinois).

The current practice location address for Petersen Health Care - Illini, Llc is 1315 Curt Drive, Champaign, IL and can be reached out via phone at 217-352-5707 and via fax at 217-352-2607.

Location: 1315 Curt Drive, Champaign, IL, 61614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619083730
Provider Name
Petersen Health Care - Illini, Llc
Credential
Provider Entity Type
Organization
Address
1315 Curt Drive, Champaign, IL, 61614
Phone Number
217-352-5707
Fax Number
217-352-2607
Provider Enumeration Date
08/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300318970007 05 IL
institution
Provider Business Practice Location Address Details
Address
1315 Curt Drive
City
Champaign
State
Illinois
Zip
61820
Phone Number
217-352-5707
Fax Number
217-352-2607
person
Provider Business Mailing Address Details
Address
1315 Curt Drive
City
Champaign
State
Illinois
Zip
61820
Phone Number
217-352-5707
Fax Number
217-352-2607
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0042440 (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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