HAVANA HCO, LLC
NPI 1760015929
Skilled Nursing Facility in Havana, IL

Active since February 17, 2020
609 N HARPHAM ST, HAVANA, IL 62644(309) 543-6121 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Havana Hco, Llc NPPES

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

HAVANA HCO, LLC (NPI 1760015929) is a healthcare organization registered as a skilled nursing facility in Havana, Illinois and active in the NPI registry since February 2020. The organization lists Mark B. Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1760015929
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHAVANA HCO, LLC
Location Address609 N HARPHAM STHavana, IL 62644-1249
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 689-5880
Organization SubpartNo
Authorized OfficialMark B. PetersenManager · (309) 691-8113
Enumeration DateFebruary 17, 2020
NPI 1760015929 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.
609 N HARPHAM ST, Havana, IL 62644

Other Providers at the Same Location NPPES 5

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

Nursing Facility/Intermediate Care Facility
609 N HARPHAM ST
HAVANA, IL 62644
Skilled Nursing Facility
609 N HARPHAM ST
HAVANA, IL 62644
Physical Therapy Assistant
609 N HARPHAM ST
HAVANA, IL 62644
Durable Medical Equipment & Medical Supplies
609 N HARPHAM ST
HAVANA, IL 62644
Skilled Nursing Facility
609 N HARPHAM ST
HAVANA, IL 62644

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 Havana Hco, LLC's NPI number?

The NPI number for Havana Hco, LLC is 1760015929. It was assigned to this organization in the NPPES registry on February 17, 2020.

Where is Havana Hco, LLC located?

Havana Hco, LLC is located at 609 N Harpham St, Havana, IL 62644. The listed phone number is (309) 543-6121.

What is Havana 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 Havana Hco, LLC was last updated on February 17, 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.