PRAIRIE CITY REHAB & HEALTH CARE
NPI 1932215548
Skilled Nursing Facility in Prairie City, IL

Active since August 23, 2006
825 E MAIN ST, PRAIRIE CITY, IL 61470(309) 775-3313(309) 775-3311 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2020, May 22, 2020 (2 updates tracked since 2020).

About Prairie City Rehab & Health Care NPPES

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

PRAIRIE CITY REHAB & HEALTH CARE (NPI 1932215548) is a healthcare organization registered as a skilled nursing facility in Prairie City, Illinois and active in the NPI registry since August 2006. The organization lists Mark B. Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1932215548
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRAIRIE CITY HCO, LLC
Location Address825 E MAIN STPrairie City, IL 61470-9411
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113 · Fax (309) 691-8622
Fax(309) 775-3311
Organization SubpartNo
Authorized OfficialMark B. PetersenManager · (309) 689-5880
Enumeration DateAugust 23, 2006
Last NPPES UpdateSeptember 15, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
NPI 1932215548 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 · 146038 Licensed in IL · 0045377
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.
825 E MAIN ST, Prairie City, IL 61470

Other Names 1

Doing Business AsPrairie City Rehab & Health Care

Other Identifiers 1

Medicaid0045377IL

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
825 E MAIN ST
PRAIRIE CITY, IL 61470

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 Prairie City Hco, LLC's NPI number?

The NPI number for Prairie City Hco, LLC is 1932215548. It was assigned to this organization in the NPPES registry on August 23, 2006. The provider is doing business as Prairie City Rehab & Health Care.

Where is Prairie City Hco, LLC located?

Prairie City Hco, LLC is located at 825 E Main St, Prairie City, IL 61470. The listed phone number is (309) 775-3313.

What is Prairie City 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 Prairie City 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.