COURTYARD ESTATES OF KNOXVILLE
NPI 1447616347
Assisted Living Facility in Knoxville, IL

Active since January 07, 2016CLIA 14D2192574 · Waiver
415 E MAIN ST, KNOXVILLE, IL 61448(309) 289-2660 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Courtyard Estates Of Knoxville NPPES

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

COURTYARD ESTATES OF KNOXVILLE (NPI 1447616347) is a healthcare organization registered as an assisted living facility in Knoxville, Illinois and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists Marikay Snyder, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1447616347
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePETERSEN HEALTH SYSTEMS, INC
Location Address415 E MAIN STKnoxville, IL 61448-1330
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113
Organization SubpartNo
Authorized OfficialMarikay SnyderGeneral Counsel · (309) 691-8113
Enumeration DateJanuary 7, 2016
NPI 1447616347 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 · 5105348
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.
415 E MAIN ST, Knoxville, IL 61448

Other Names 1

Doing Business AsCourtyard Estates Of Knoxville

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 14D2192574

Courtyard Estates Of Knoxville · Knoxville, IL
Active · expires Sep 10, 2026
CLIA Number14D2192574
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorJoan M. Munson
Laboratory Phone(309) 289-2660
Laboratory LocationCourtyard Estates Of Knoxville415 E Main St, Knoxville, IL 61448
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
415 E MAIN ST
KNOXVILLE, IL 61448

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 1447616347. It was assigned to this organization in the NPPES registry on January 7, 2016. The provider is doing business as Courtyard Estates Of Knoxville.

Where is Petersen Health Systems, Inc located?

Petersen Health Systems, Inc is located at 415 E Main St, Knoxville, IL 61448. The listed phone number is (309) 289-2660.

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 14D2192574) 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 January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.