COURTYARD ESTATES OF KNOXVILLE
NPI 1447616347
Assisted Living Facility in Knoxville, IL
- Organization
- Assisted Living Facility
- CLIA Number: 14D2192574
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 09-10-2026
About COURTYARD ESTATES OF KNOXVILLE
This page provides the complete NPI Profile along with additional information for Courtyard Estates Of Knoxville, a provider established in Knoxville, Illinois operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1447616347 assigned on January 2016. The practitioner's primary taxonomy code is 310400000X with license number 5105348 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Courtyard Estates Of Knoxville. The authorized official of this NPI record is Marikay Snyder (General Counsel)
- NPI
- 1447616347 Verify this NPI
- Provider Legal Name
- PETERSEN HEALTH SYSTEMS, INC
- Other Organization Name
- COURTYARD ESTATES OF KNOXVILLE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 415 E MAIN ST KNOXVILLE, IL 61448
- Location Phone
- (309) 289-2660
- Mailing Address
- 830 W TRAILCREEK DR PEORIA, IL 61614
- Mailing Phone
- (309) 691-8113
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-07-2016
- Last Update Date
- 01-07-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 5105348
- License State
- IL
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2192574
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- September 11, 2024
- Certificate Expiration Date
- September 10, 2026
- Laboratory Director
- JOAN M. MUNSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Courtyard Estates Of Knoxville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447616347, enumerated as an "organization" on January 07, 2016.
The provider is located at 415 E MAIN ST KNOXVILLE, IL 61448 and the phone number is (309) 289-2660.
Assisted Living Facility with taxonomy code 310400000X.
