COURTYARD ESTATES AT KEWANEE
NPI 1215061346
Assisted Living Facility in Kewanee, IL

Q: What is Petersen Health Systems, Inc.'s NPI number?

The NPI number for Petersen Health Systems, Inc. is 1215061346. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Courtyard Estates At Kewanee.

Q: What is Petersen Health Systems, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since March 14, 2007CLIA 14D2192544 · Waiver

141 JUNIOR AVE, KEWANEE, IL 61443(309) 853-2460 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Courtyard Estates At Kewanee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTYARD ESTATES AT KEWANEE (NPI 1215061346) is a healthcare organization registered as an assisted living facility in Kewanee, Illinois and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists Mark B. Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1215061346

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePETERSEN HEALTH SYSTEMS, INC.

Location Address141 JUNIOR AVEKewanee, IL 61443-2507

Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862

Phone(309) 853-2460

Organization SubpartNo

Authorized OfficialMark B. PetersenPresident · (309) 691-8113

Enumeration DateMarch 14, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1215061346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

141 JUNIOR AVE, Kewanee, IL 61443

Open in Google Maps ↗

Other Names 1

Doing Business AsCourtyard Estates At Kewanee

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2192544

Courtyard Estates Of Kewanee · Kewanee, IL

Active · expires Sep 10, 2026

CLIA Number14D2192544

Laboratory TypeAssisted Living Facility

Certificate Effective DateSeptember 11, 2024

Certificate Expiration DateSeptember 10, 2026

Laboratory DirectorLindsey L. Dana

Laboratory Phone(309) 853-2460

Laboratory LocationCourtyard Estates Of Kewanee141 Junior Ave, Kewanee, IL 61443

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petersen Health Systems, Inc.'s NPI number?

The NPI number for Petersen Health Systems, Inc. is 1215061346. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Courtyard Estates At Kewanee.

Where is Petersen Health Systems, Inc. located?

Petersen Health Systems, Inc. is located at 141 Junior Ave, Kewanee, IL 61443. The listed phone number is (309) 853-2460.

What is Petersen Health Systems, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Petersen Health Systems, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2192544) is associated with this NPI, valid through September 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Petersen Health Systems, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.