Petersen Health Operations, LLC
NPI 1235176504 · Skilled Nursing Facility · East Peoria, IL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Petersen Health Operations, LLC is a Skilled Nursing Facility organization in East Peoria, IL (NPI 1235176504).
Provider details
- NPI number
- 1235176504
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Petersen, General Manager(309) 691-8113
- License
- 0047472 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- Fondulac Rehabilitation & Health Care Center
Registry dates
- Enumerated
- 2006-06-02
- Last updated
- 2022-01-19
- Certified
- 2022-01-19
Frequently asked questions
- What is Petersen Health Operations, LLC's NPI number?
- Petersen Health Operations, LLC's National Provider Identifier (NPI) is 1235176504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petersen Health Operations, LLC?
- Petersen Health Operations, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Petersen Health Operations, LLC located?
- Petersen Health Operations, LLC's practice location on file with NPPES is 901 Illini Dr, East Peoria, IL 61611-1840.
- What is Petersen Health Operations, LLC's phone number?
- The practice phone number listed in the NPPES registry for Petersen Health Operations, LLC is (309) 694-6446.
- Does Petersen Health Operations, LLC accept Medicare?
- Petersen Health Operations, 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 Petersen Health Operations, LLC?
- The authorized official listed on Petersen Health Operations, LLC's NPPES record is Mark Petersen, General Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petersen Health Operations, LLC's NPI active?
- Yes — Petersen Health Operations, LLC's NPI (1235176504) is active in the NPPES registry as of the last update on 2022-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.