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Decatur Hco, LLC

Nursing Facility/Intermediate Care Facility in Decatur, IL · enumerated 2006 · authorized official Mark Petersen, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063459329

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Registry record

Entity type Organization (Type 2)
Legal business name Decatur Hco, LLC
Other name <Unavail>
Practice address 136 S Dipper Ln, Decatur, IL, 62522
Phone (217) 428-7767
Fax (217) 428-7454
Enumeration date Jun 2, 2006
Last updated in NPPES Dec 10, 2020

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 0043455 (IL) Primary

Authorized official

Name Mark Petersen
Title Manager
Phone (309) 689-5880

Other identifiers

Identifier Type State Issuer
20-3224201009 Medicaid IL —

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-12-10. Verify at npiregistry.cms.hhs.gov.
Where is Decatur Hco, LLC located?
The practice location on file with NPPES is in Decatur, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-10.