Peoria Treatment Center, LLC
NPI 1073944567 · Substance Use Disorder Rehabilitation Clinic/Center · East Peoria, IL
Enrolled with Medicare as Part B Supplier - Opioid Treatment Program (otp) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peoria Treatment Center, LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in East Peoria, IL (NPI 1073944567).
Provider details
- NPI number
- 1073944567
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Jarvie, Vp, Treasurer(214) 379-3300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Methadone Clinic261QM2800X
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Other names (DBA / former)
- Doing business as
- Medmark Treatment Centers East Peoria
Registry dates
- Enumerated
- 2013-12-09
- Last updated
- 2026-01-13
- Certified
- 2026-01-13
Frequently asked questions
- What is Peoria Treatment Center, LLC's NPI number?
- Peoria Treatment Center, LLC's National Provider Identifier (NPI) is 1073944567, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peoria Treatment Center, LLC?
- Peoria Treatment Center, LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Peoria Treatment Center, LLC located?
- Peoria Treatment Center, LLC's practice location on file with NPPES is 731 Sabrina Dr Unit C, East Peoria, IL 61611-3582.
- What is Peoria Treatment Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Peoria Treatment Center, LLC is (877) 592-5901.
- Does Peoria Treatment Center, LLC accept Medicare?
- Peoria Treatment Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peoria Treatment Center, LLC?
- The authorized official listed on Peoria Treatment Center, LLC's NPPES record is Bruce Jarvie, Vp, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peoria Treatment Center, LLC's NPI active?
- Yes — Peoria Treatment Center, LLC's NPI (1073944567) is active in the NPPES registry as of the last update on 2026-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.