THE VILLA AT PA PETERSON
NPI 1891108668
Skilled Nursing Facility in Rockford, IL
About The Villa At Pa Peterson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE VILLA AT PA PETERSON (NPI 1891108668) is a healthcare organization registered as a skilled nursing facility in Rockford, Illinois and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Frances Meehan, Attorney, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D1093823
Peterson Meadows Retirement Community · Rockford, ILOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 PA Peterson LLC's NPI number?
The NPI number for PA Peterson LLC is 1891108668. It was assigned to this organization in the NPPES registry on June 9, 2014. The provider is doing business as The Villa At PA Peterson.
Where is PA Peterson LLC located?
PA Peterson LLC is located at 1311 Parkview Ave, Rockford, IL 61107. The listed phone number is (815) 399-8832.
What is PA Peterson LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does PA Peterson LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1093823) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for PA Peterson LLC was last updated on June 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.