PALM TERRACE OF MATTOON
NPI 1578714713
Skilled Nursing Facility in Mattoon, IL

Active since October 07, 2008
1000 PALM AVE, MATTOON, IL 61938(217) 234-7403 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palm Terrace Of Mattoon NPPES

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

PALM TERRACE OF MATTOON (NPI 1578714713) is a healthcare organization registered as a skilled nursing facility in Mattoon, Illinois and active in the NPI registry since October 2008. The organization lists Mark Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1578714713
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePETERSEN HEALTH CARE II, INC
Location Address1000 PALM AVEMattoon, IL 61938-6031
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113
Organization SubpartNo
Authorized OfficialMark PetersenPresident · (309) 691-8113
Enumeration DateOctober 7, 2008
NPI 1578714713 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 · 0046037
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.
1000 PALM AVE, Mattoon, IL 61938

Other Names 1

Doing Business AsPalm Terrace Of Mattoon

Other Identifiers 1

Medicaid=========003IL

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
1000 PALM AVE
MATTOON, IL 61938
Occupational Therapy Assistant
1000 PALM AVE
MATTOON, IL 61938
Speech-Language Pathologist
1000 PALM AVE
MATTOON, IL 61938
Skilled Nursing Facility
1000 PALM AVE
MATTOON, IL 61938
Skilled Nursing Facility
1000 PALM AVE
MATTOON, IL 61938
Nurse Practitioner (Gerontology)
1000 PALM AVE
MATTOON, IL 61938

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 Care II, Inc's NPI number?

The NPI number for Petersen Health Care II, Inc is 1578714713. It was assigned to this organization in the NPPES registry on October 7, 2008. The provider is doing business as Palm Terrace Of Mattoon.

Where is Petersen Health Care II, Inc located?

Petersen Health Care II, Inc is located at 1000 Palm Ave, Mattoon, IL 61938. The listed phone number is (217) 234-7403.

What is Petersen Health Care II, Inc'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 Care II, Inc was last updated on October 7, 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.