OrganizationActive
Menard Convalescent Center, Inc
NPI 1003068776 · Skilled Nursing Facility · Petersburg, IL
Provider details
- NPI number
- 1003068776
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Jennings, Controller(217) 787-8530
- License
- 0003020 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 W Antle St
Petersburg, IL 62675-1035
Phone: (217) 632-2249
Fax: (217) 632-7810
Street-level locationGet directions
Mailing address
2653 W Lawrence Ave Ste B
Springfield, IL 62704-1115
Registry dates
- Enumerated
- 2008-10-14
- Last updated
- 2008-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.