FONDULAC REHABILITATION & HEALTH CARE CENTER
NPI 1548414550
Skilled Nursing Facility in East Peoria, IL

Active since November 05, 2008
901 ILLINI DR, EAST PEORIA, IL 61611(309) 694-6446 Get Directions Write a Review

NPPES record last updated: November 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fondulac Rehabilitation & Health Care Center NPPES

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

FONDULAC REHABILITATION & HEALTH CARE CENTER (NPI 1548414550) is a healthcare organization registered as a skilled nursing facility in East Peoria, Illinois and active in the NPI registry since November 2008. The organization lists Mark Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1548414550
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePETERSEN HEALTH OPERATIONS
Location Address901 ILLINI DREast Peoria, IL 61611-1840
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113
Organization SubpartNo
Authorized OfficialMark PetersenManager · (309) 691-8113
Enumeration DateNovember 5, 2008
NPI 1548414550 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 · 0047472
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.
901 ILLINI DR, East Peoria, IL 61611

Other Names 1

Doing Business AsFondulac Rehabilitation & Health Care Center

Other Identifiers 1

Medicaid=========039IL

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.

Skilled Nursing Facility
901 ILLINI DR
EAST PEORIA, IL 61611
Speech-Language Pathologist
901 ILLINI DR
EAST PEORIA, IL 61611
Skilled Nursing Facility
901 ILLINI DR
EAST PEORIA, IL 61611

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 Operations's NPI number?

The NPI number for Petersen Health Operations is 1548414550. It was assigned to this organization in the NPPES registry on November 5, 2008. The provider is doing business as Fondulac Rehabilitation & Health Care Center.

Where is Petersen Health Operations located?

Petersen Health Operations is located at 901 Illini Dr, East Peoria, IL 61611. The listed phone number is (309) 694-6446.

What is Petersen Health Operations'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 Petersen Health Operations was last updated on November 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.