OrganizationActive
Vandalia Hco, LLC
NPI 1265532493 · Skilled Nursing Facility · Vandalia, IL
Vandalia Hco, LLC is a Skilled Nursing Facility organization in Vandalia, IL (NPI 1265532493).
Provider details
- NPI number
- 1265532493
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Petersen, Manager(309) 689-5880
- License
- 0043497 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1500 W Saint Louis Ave
Vandalia, IL 62471-2535
Phone: (618) 283-4262
Fax: (618) 283-4313
Street-level locationGet directions
Mailing address
830 W Trailcreek Dr
Peoria, IL 61614-1862
Other names (DBA / former)
- Doing business as
- Vandalia Rehabilitation & Health Care Center
- Doing business as
- Vandalia Rehabilitation & Health Care Center
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2020-09-02
- Certified
- 2020-09-02
Frequently asked questions
- What is Vandalia Hco, LLC's NPI number?
- Vandalia Hco, LLC's National Provider Identifier (NPI) is 1265532493, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vandalia Hco, LLC?
- Vandalia Hco, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Vandalia Hco, LLC located?
- Vandalia Hco, LLC's practice location on file with NPPES is 1500 W Saint Louis Ave, Vandalia, IL 62471-2535.
- What is Vandalia Hco, LLC's phone number?
- The practice phone number listed in the NPPES registry for Vandalia Hco, LLC is (618) 283-4262.
- Who is the authorized official for Vandalia Hco, LLC?
- The authorized official listed on Vandalia Hco, LLC's NPPES record is Mark Petersen, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vandalia Hco, LLC's NPI active?
- Yes — Vandalia Hco, LLC's NPI (1265532493) is active in the NPPES registry as of the last update on 2020-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.