PROCTOR HOSPITAL SKILLED NURSING
NPI 1821068404
Skilled Nursing Facility in Peoria, IL

Active since January 25, 2006
5409 N KNOXVILLE AVE, PEORIA, IL 61614(309) 691-1000(309) 671-8265 Get Directions Write a Review

NPPES record last updated: January 23, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Proctor Hospital Skilled Nursing NPPES

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

PROCTOR HOSPITAL SKILLED NURSING (NPI 1821068404) is a healthcare organization registered as a skilled nursing facility in Peoria, Illinois and active in the NPI registry since January 2006. The organization lists Deborah R. Simon, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1821068404
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePROCTOR COMMUNITY HOSPITAL
Location Address5409 N KNOXVILLE AVEPeoria, IL 61614-5016
Mailing Address5409 N Knoxville AvePeoria, IL 61614-5016 · (309) 672-4813 · Fax (309) 671-8265
Fax(309) 671-8265
Organization SubpartYes
Authorized OfficialDeborah R. SimonPresident/ceo · (309) 672-5928
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJanuary 23, 2015
NPI 1821068404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Licenses Licensed in IL · 0001925 Licensed in IL · 1677264
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.

5409 N KNOXVILLE AVE, Peoria, IL 61614

Other Names 1

Doing Business AsProctor Hospital Skilled Nursing

Other Identifiers 2

Medicare OSCAR/certification145579IL
Medicare ID-Type Unspecified145579IL · Medicare Provider Number

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Psychologist (Clinical)
5409 N KNOXVILLE AVE, PSYCHOLOGICAL ASSOCIATES
PEORIA, IL 61614
Pathology (Anatomic Pathology & Clinical Pathology)
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Surgery (Vascular Surgery)
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Physical Therapy Assistant
5409 N KNOXVILLE AVE, STE 400
PEORIA, IL 61614
Clinical Nurse Specialist
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Pathology (Anatomic Pathology & Clinical Pathology)
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Pathology (Anatomic Pathology & Clinical Pathology)
5409 N KNOXVILLE AVE
PEORIA, IL 61614

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 Proctor Community Hospital's NPI number?

The NPI number for Proctor Community Hospital is 1821068404. It was assigned to this organization in the NPPES registry on January 25, 2006. The provider is doing business as Proctor Hospital Skilled Nursing.

Where is Proctor Community Hospital located?

Proctor Community Hospital is located at 5409 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 691-1000.

What is Proctor Community Hospital'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 Proctor Community Hospital was last updated on January 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.