DECATUR HCO, LLC
NPI 1790318954
Skilled Nursing Facility in Decatur, IL

Active since February 17, 2020
136 S DIPPER LN, DECATUR, IL 62522(217) 428-7767 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Decatur Hco, Llc NPPES

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

DECATUR HCO, LLC (NPI 1790318954) is a healthcare organization registered as a skilled nursing facility in Decatur, Illinois and active in the NPI registry since February 2020. The organization lists Mark B. Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1790318954
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDECATUR HCO, LLC
Location Address136 S DIPPER LNDecatur, IL 62522-1841
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 1790318954 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.
136 S DIPPER LN, Decatur, IL 62522

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
136 S DIPPER LN
DECATUR, IL 62522
Physical Therapist
136 S DIPPER LN
DECATUR, IL 62522
Occupational Therapy Assistant
136 S DIPPER LN
DECATUR, IL 62522
Occupational Therapist
136 S DIPPER LN
DECATUR, IL 62522
Speech-Language Pathologist
136 S DIPPER LN
DECATUR, IL 62522

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 Decatur Hco, LLC's NPI number?

The NPI number for Decatur Hco, LLC is 1790318954. It was assigned to this organization in the NPPES registry on February 17, 2020.

Where is Decatur Hco, LLC located?

Decatur Hco, LLC is located at 136 S Dipper Ln, Decatur, IL 62522. The listed phone number is (217) 428-7767.

What is Decatur 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 Decatur 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.