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Petersen Management Company, LLC

Skilled Nursing Facility in Mattoon, IL · enumerated 2006 · authorized official Mark Petersen, President.

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

National Provider Identifier

1487610291

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Registry record

Entity type Organization (Type 2)
Legal business name Petersen Management Company, LLC
Other name <Unavail>
Parent organization Petersen Health Care II, Inc.
Practice address 1000 Palm Ave, Mattoon, IL, 61938
Fax (217) 258-6642
Enumeration date Apr 21, 2006
Last updated in NPPES May 23, 2013

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 0046037 (IL) Primary

Authorized official

Name Mark Petersen
Title President

Other identifiers

Identifier Type State Issuer
74-3055934001 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

Who is the authorized official for Petersen Management Company, LLC?
NPPES lists Mark Petersen (President) as the authorized official for this organization.
What is the NPI number for Petersen Management Company, LLC?
The NPI for Petersen Management Company, LLC is 1487610291, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-23.