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KEWANEE CARE HOME
NPI 1215188487
Nursing Facility/Intermediate Care Facility in Kewanee, IL

Active since October 07, 2008
144 JOUNIOR AVE., KEWANEE, IL 61443(618) 833-7093 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kewanee Care Home NPPES

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

KEWANEE CARE HOME (NPI 1215188487) is a healthcare organization registered as a nursing facility/intermediate care facility in Kewanee, Illinois and active in the NPI registry since October 2008. The organization lists Mark Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1215188487
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NamePETERSEN HEALTH CARE, INC
Location Address144 JOUNIOR AVE.Kewanee, IL 61443
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113
Phone(618) 833-7093
Organization SubpartNo
Authorized OfficialMark PetersenPresident · (309) 691-8113
Enumeration DateOctober 7, 2008
✔ NPI 1215188487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in IL · 0026518
Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

144 JOUNIOR AVE., Kewanee, IL 61443
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Other Names 1

Doing Business AsKewanee Care Home

Other Identifiers 1

Medicaid=========014IL

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 Care, Inc's NPI number?

The NPI number for Petersen Health Care, Inc is 1215188487. It was assigned to this organization in the NPPES registry on October 7, 2008. The provider is doing business as Kewanee Care Home.

Where is Petersen Health Care, Inc located?

Petersen Health Care, Inc is located at 144 Jounior Ave., Kewanee, IL 61443. The listed phone number is (618) 833-7093.

What is Petersen Health Care, Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Petersen Health Care, Inc was last updated on October 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.