MEADOWLAWN HEALTH CARE
NPI 1962468769
Skilled Nursing Facility in Davenport, IA

Active since April 21, 2006
4656 W KIMBERLY RD, DAVENPORT, IA 52806(563) 391-5150(563) 391-3901 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Meadowlawn Health Care NPPES

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

MEADOWLAWN HEALTH CARE (NPI 1962468769) is a healthcare organization registered as a skilled nursing facility in Davenport, Iowa and active in the NPI registry since April 2006. The organization lists Mark B. Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1962468769
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePETERSEN HEALTH CARE, INC.
Location Address4656 W KIMBERLY RDDavenport, IA 52806-7111
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113 · Fax (309) 691-8622
Fax(563) 391-3901
Organization SubpartNo
Authorized OfficialMark B. PetersenPresident · (309) 691-8113
Enumeration DateApril 21, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1962468769 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 IA · 820624
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.
4656 W KIMBERLY RD, Davenport, IA 52806

Other Names 1

Doing Business AsMeadowlawn Health Care

Other Identifiers 1

Medicaid0809459IA

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 Care, Inc.'s NPI number?

The NPI number for Petersen Health Care, Inc. is 1962468769. It was assigned to this organization in the NPPES registry on April 21, 2006. The provider is doing business as Meadowlawn Health Care.

Where is Petersen Health Care, Inc. located?

Petersen Health Care, Inc. is located at 4656 W Kimberly Rd, Davenport, IA 52806. The listed phone number is (563) 391-5150.

What is Petersen Health Care, Inc.'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 Petersen Health Care, Inc. 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.