COLLINSVILLE REHABILITATION & HEALTH CARE CENTER
NPI 1447883608
Skilled Nursing Facility in Collinsville, IL

Active since February 17, 2020
614 SUMMIT AVE, COLLINSVILLE, IL 62234(618) 344-8476 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2020, Feb 17, 2020 (2 updates tracked since 2020).

About Collinsville Rehabilitation & Health Care Center NPPES

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

COLLINSVILLE REHABILITATION & HEALTH CARE CENTER (NPI 1447883608) is a healthcare organization registered as a skilled nursing facility in Collinsville, Illinois and active in the NPI registry since February 2020. The organization lists Mark B. Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1447883608
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOLLINSVILLE HCO, LLC
Location Address614 SUMMIT AVECollinsville, IL 62234-3728
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 689-5880
Organization SubpartNo
Authorized OfficialMark B. PetersenManager · (309) 689-5880
Enumeration DateFebruary 17, 2020
Last NPPES UpdateMay 13, 20202 updates tracked since enumeration
NPPES CertifiedMay 13, 2020
NPI 1447883608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
614 SUMMIT AVE, Collinsville, IL 62234

Other Names 1

Doing Business AsCollinsville Rehabilitation & Health Care Center

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
614 SUMMIT AVE
COLLINSVILLE, IL 62234
Skilled Nursing Facility
614 SUMMIT AVE
COLLINSVILLE, IL 62234
Physical Therapy Assistant
614 SUMMIT AVE
COLLINSVILLE, IL 62234

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 Collinsville Hco, LLC's NPI number?

The NPI number for Collinsville Hco, LLC is 1447883608. It was assigned to this organization in the NPPES registry on February 17, 2020. The provider is doing business as Collinsville Rehabilitation & Health Care Center.

Where is Collinsville Hco, LLC located?

Collinsville Hco, LLC is located at 614 Summit Ave, Collinsville, IL 62234. The listed phone number is (618) 344-8476.

What is Collinsville Hco, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Collinsville Hco, LLC was last updated on May 13, 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.