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COURTYARD ESTATES OF MONMOUTH
NPI 1265527931
Assisted Living Facility in Monmouth, IL

Active since October 04, 2006
1 COURTYARD BLVD, MONMOUTH, IL 61462(309) 734-9355(309) 734-9394 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Courtyard Estates Of Monmouth NPPES

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

COURTYARD ESTATES OF MONMOUTH (NPI 1265527931) is a healthcare organization registered as an assisted living facility in Monmouth, Illinois and active in the NPI registry since October 2006. The organization lists Mark B Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1265527931
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePETERSEN HEALTH SYSTEMS, INS
Location Address1 COURTYARD BLVDMonmouth, IL 61462-1086
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113 · Fax (309) 691-8622
Phone(309) 734-9355
Fax(309) 734-9394
Organization SubpartNo
Authorized OfficialMark B PetersenPresident · (309) 691-8113
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265527931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in IL · 5101693
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.
1 COURTYARD BLVD, Monmouth, IL 61462
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Other Names 1

Doing Business AsCourtyard Estates Of Monmouth

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 14D2192576

Courtyard Estates Of Monmouth · Monmouth, IL
Expired · Sep 10, 2026
CLIA Number14D2192576
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorJacque K. Whitley
Laboratory Phone(309) 734-9355
Laboratory LocationCourtyard Estates Of MonmouthOne Courtyard Blvd, Monmouth, IL 61462
CLIA data matches this NPI record on: Name 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, Ins's NPI number?

The NPI number for Petersen Health Systems, Ins is 1265527931. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Courtyard Estates Of Monmouth.

Where is Petersen Health Systems, Ins located?

Petersen Health Systems, Ins is located at 1 Courtyard Blvd, Monmouth, IL 61462. The listed phone number is (309) 734-9355.

What is Petersen Health Systems, Ins's specialty?

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

When was this NPI record last updated?

The NPPES record for Petersen Health Systems, Ins 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 6 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.