COUNTRYVIEW TERRACE
NPI 1598721383
Intermediate Care Facility, Intellectual Disabilities in Louisville, IL

Q: What is Petersen Health Quality, LLC's NPI number?

The NPI number for Petersen Health Quality, LLC is 1598721383. It was assigned to this organization in the NPPES registry on April 21, 2006. The provider is doing business as Countryview Terrace.

Q: What is Petersen Health Quality, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since April 21, 2006

52 OLD RTE 45, LOUISVILLE, IL 62858(618) 686-4542(618) 686-2179 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Countryview Terrace NPPES

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

COUNTRYVIEW TERRACE (NPI 1598721383) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Louisville, Illinois and active in the NPI registry since April 2006. The organization lists Mark B. Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1598721383

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NamePETERSEN HEALTH QUALITY, LLC

Location Address52 OLD RTE 45Louisville, IL 62858-0116

Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113 · Fax (309) 691-8622

Phone(618) 686-4542

Fax(618) 686-2179

Organization SubpartYesParent: Petersen Health Care, Inc

Authorized OfficialMark B. PetersenPresident · (309) 691-8113

Enumeration DateApril 21, 2006

Last NPPES UpdateFebruary 14, 2024

NPPES CertifiedFebruary 14, 2024

✔ NPI 1598721383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in IL · 0046078

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

52 OLD RTE 45, Louisville, IL 62858

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Other Names 1

Doing Business AsCountryview Terrace

Other Identifiers 1

Medicaid37-1068286008IL

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 Quality, LLC's NPI number?

The NPI number for Petersen Health Quality, LLC is 1598721383. It was assigned to this organization in the NPPES registry on April 21, 2006. The provider is doing business as Countryview Terrace.

Where is Petersen Health Quality, LLC located?

Petersen Health Quality, LLC is located at 52 Old Rte 45, Louisville, IL 62858. The listed phone number is (618) 686-4542.

What is Petersen Health Quality, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Petersen Health Quality, LLC was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.