SULLIVAN REHABILITATION & HEALTH CARE CENTER
NPI 1417913583
Skilled Nursing Facility in Sullivan, IL

Active since April 26, 2006
4/5
Overall Rating
11 HAWTHORNE LN, SULLIVAN, IL 61951(217) 728-4327(217) 728-2263 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2020, May 20, 2020, Aug 17, 2018 (3 updates tracked since 2018).

About Sullivan Rehabilitation & Health Care Center NPPES

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

SULLIVAN REHABILITATION & HEALTH CARE CENTER (NPI 1417913583) is a healthcare organization registered as a skilled nursing facility in Sullivan, Illinois and active in the NPI registry since April 2006. The organization lists Mark B. Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1417913583
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSULLIVAN HCO, LLC
Location Address11 HAWTHORNE LNSullivan, IL 61951-9490
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113 · Fax (309) 691-8622
Fax(217) 728-2263
Organization SubpartNo
Authorized OfficialMark B. PetersenManager · (309) 689-5880
Enumeration DateApril 26, 2006
Last NPPES UpdateSeptember 24, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
NPI 1417913583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 0046425
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
11 HAWTHORNE LN, Sullivan, IL 61951

Other Names 1

Doing Business AsSullivan Rehabilitation & Health Care Center

Other Identifiers 1

Medicaid743055934006IL

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Sullivan Rehab & Hlth Care Ctr (CMS certification number 145370), from CMS Care Compare.

Sullivan Rehab & Hlth Care Ctr

Nursing home · Sullivan, IL
4/5 CMS Overall Rating
OwnershipFor profit - Partnership
CMS Certification Number145370
Certified Beds123 beds68 residents per day on average
Medicare & Medicaid Participant SinceMay 1, 1978
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
58.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.76 · LPN 0.86 · RN 0.3
2.92 hrs per resident per day
Weekend Nurse Staffing
2.49 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
43.9%
Registered Nurse Turnover
20%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
4
Substantiated Complaints
3
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
11 HAWTHORNE LN
SULLIVAN, IL 61951
Physical Therapy Assistant
11 HAWTHORNE LN
SULLIVAN, IL 61951
Speech-Language Pathologist
11 HAWTHORNE LN
SULLIVAN, IL 61951
Skilled Nursing Facility
11 HAWTHORNE LN
SULLIVAN, IL 61951
Skilled Nursing Facility
11 HAWTHORNE LN
SULLIVAN, IL 61951
Skilled Nursing Facility
11 HAWTHORNE LN
SULLIVAN, IL 61951
Speech-Language Pathologist
11 HAWTHORNE LN
SULLIVAN, IL 61951

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 Sullivan Hco, LLC's NPI number?

The NPI number for Sullivan Hco, LLC is 1417913583. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider is doing business as Sullivan Rehabilitation & Health Care Center.

Where is Sullivan Hco, LLC located?

Sullivan Hco, LLC is located at 11 Hawthorne Ln, Sullivan, IL 61951. The listed phone number is (217) 728-4327.

What is Sullivan Hco, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Sullivan Hco, LLC a Medicare-certified nursing home?

Yes. Sullivan Rehab & Hlth Care Ctr is a Medicare-certified nursing home with 123 certified beds.

What quality rating does Sullivan Hco, LLC have?

CMS rates Sullivan Rehab & Hlth Care Ctr 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Sullivan Hco, LLC was last updated on September 24, 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.