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Petersen Health Care Ll, Inc.

Nursing Facility/Intermediate Care Facility in Mount Vernon, IL · enumerated 2006 · authorized official Mark Petersen, President.

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

National Provider Identifier

1659471993

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Registry record

Entity type Organization (Type 2)
Legal business name Petersen Health Care Ll, Inc.
Other name <Unavail>
Practice address 1717 Jefferson Ave, Mount Vernon, IL, 62864
Phone (999) 999-9999
Enumeration date Sep 25, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 0047902 (IL) Primary

Authorized official

Name Mark Petersen
Title President
Phone (309) 691-8113

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 Health Care Ll, Inc.?
NPPES lists Mark Petersen (President) as the authorized official for this organization.
What is the NPI number for Petersen Health Care Ll, Inc.?
The NPI for Petersen Health Care Ll, Inc. is 1659471993, 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 2020-08-22.