1. Home
  2. Directory
  3. Illinois
  4. Casey
  5. Assisted Living Facility
  6. NPI Profile

SIMPLE BLESSINGS
NPI 1932209160
Assisted Living Facility in Casey, IL

Active since September 25, 2006CLIA 14D2192579 · Waiver
203 E MONROE AVE, CASEY, IL 62420(217) 932-2603(217) 932-5150 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simple Blessings NPPES

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

SIMPLE BLESSINGS (NPI 1932209160) is a healthcare organization registered as an assisted living facility in Casey, Illinois and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists Mark B. Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1932209160
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePETERSEN HEALTH RESOURCES, LLC
Location Address203 E MONROE AVECasey, IL 62420-1764
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113 · Fax (309) 691-8622
Phone(217) 932-2603
Fax(217) 932-5150
Organization SubpartNo
Authorized OfficialMark B. PetersenPresident · (309) 691-8113
Enumeration DateSeptember 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1932209160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in IL · APPLIED FOR
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
203 E MONROE AVE, Casey, IL 62420
Open in Google Maps ↗

Other Names 1

Doing Business AsSimple Blessings

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 14D2192579

Simple Blessings · Casey, IL
Active · expires Sep 10, 2026
CLIA Number14D2192579
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorBrenda K. Worthey
Laboratory Phone(217) 932-2603
Laboratory LocationSimple Blessings203 E Monroe, Casey, IL 62420
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Petersen Health Resources, LLC's NPI number?

The NPI number for Petersen Health Resources, LLC is 1932209160. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Simple Blessings.

Where is Petersen Health Resources, LLC located?

Petersen Health Resources, LLC is located at 203 E Monroe Ave, Casey, IL 62420. The listed phone number is (217) 932-2603.

What is Petersen Health Resources, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Petersen Health Resources, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2192579) is associated with this NPI, valid through September 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Petersen Health Resources, LLC was last updated on August 22, 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.