MCLEANSBORO REHABILITATION & HEALTH CARE CENTER
NPI 1801834387
Skilled Nursing Facility in Mc Leansboro, IL

Active since June 04, 2006
405 W CARPENTER ST, MC LEANSBORO, IL 62859(618) 643-3728(618) 643-2330 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2020, May 26, 2020, May 21, 2020 (3 updates tracked since 2020).

About Mcleansboro Rehabilitation & Health Care Center NPPES

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

MCLEANSBORO REHABILITATION & HEALTH CARE CENTER (NPI 1801834387) is a healthcare organization registered as a skilled nursing facility in Mc Leansboro, Illinois and active in the NPI registry since June 2006. The organization lists Mark B. Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1801834387
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMCLEANSBORO HCO, LLC
Location Address405 W CARPENTER STMc Leansboro, IL 62859-1012
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113 · Fax (309) 691-8622
Fax(618) 643-2330
Organization SubpartNo
Authorized OfficialMark B. PetersenManager · (309) 689-5880
Enumeration DateJune 4, 2006
Last NPPES UpdateSeptember 15, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
NPI 1801834387 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 · 0047498
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.
405 W CARPENTER ST, Mc Leansboro, IL 62859

Other Names 1

Doing Business AsMcleansboro Rehabilitation & Health Care Center

Other Identifiers 1

Medicaid20-3224201014IL

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
405 W CARPENTER ST
MC LEANSBORO, IL 62859
Skilled Nursing Facility
405 W CARPENTER ST
MC LEANSBORO, IL 62859

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 Mcleansboro Hco, LLC's NPI number?

The NPI number for Mcleansboro Hco, LLC is 1801834387. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is doing business as Mcleansboro Rehabilitation & Health Care Center.

Where is Mcleansboro Hco, LLC located?

Mcleansboro Hco, LLC is located at 405 W Carpenter St, Mc Leansboro, IL 62859. The listed phone number is (618) 643-3728.

What is Mcleansboro 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 Mcleansboro Hco, LLC was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.