Petersen Companies, LLC
Petersen Companies, LLC is a healthcare organization registered as Skilled Nursing Facility in Flora, IL, holding Type 2 (organization) NPI 1962654145 since 2008. The authorized official on file is Mark Petersen, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962654145 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Petersen Companies, LLC |
| Other name | <Unavail> |
| Practice address | 701 SHADWELL AVE, Flora, IL, 62839 |
| Phone | 6186628361 |
| Enumeration date | 2008-10-21 |
| Last updated in NPPES | 2008-10-21 |
Authorized official
| Name | Mark Petersen |
|---|---|
| Title | Manager |
| Phone | 3096918113 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 0048538 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20103299015 | Medicaid | IL | — |
Copy-ready billing details
Provider: Petersen Companies, LLC NPI: 1962654145 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 701 SHADWELL AVE, Flora, IL, 62839
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1336100999 | Flora Pavilion Nursing Home Center, Inc | Organization | Skilled Nursing Facility | Flora, IL |
| 1275622003 | Petersen Health Network, LLC | Organization | Skilled Nursing Facility | Flora, IL |
| 1285147959 | Katie Vanblaricum | Individual | Speech-Language Pathologist | Flora, IL |
| 1205405859 | Marissa Maxham | Individual | Pain Medicine (Physical Medicine & Rehabilitation) Physician | Flora, IL |
| 1033880653 | Lara Healy | Individual | Occupational Therapist | Flora, IL |
| 1073243747 | Shelby Cuffle | Individual | Physical Therapy Assistant | Flora, IL |
| 1922733484 | Nicole Ethridge | Individual | Physical Therapy Assistant | Flora, IL |
| 1235823923 | Heather Atkins | Individual | Physical Therapy Assistant | Flora, IL |
Verify this record
Cross-check NPI 1962654145 against the authoritative CMS record: view Petersen Companies, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Petersen Companies, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-10-21.