OrganizationActive
Havana Hco, LLC
NPI 1346206315 · Skilled Nursing Facility · Havana, IL
Havana Hco, LLC is a Skilled Nursing Facility organization in Havana, IL (NPI 1346206315).
Provider details
- NPI number
- 1346206315
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Petersen Health Care, Inc.
- Organization subpart
- Yes
- Authorized official
- Mark Petersen, Manager(309) 689-5880
- License
- 0046086 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
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
609 N Harpham St
Havana, IL 62644
Phone: (309) 543-6121
Fax: (309) 543-1233
Street-level locationGet directions
Mailing address
830 W Trailcreek Dr
Peoria, IL 61614-1862
Other names (DBA / former)
- Doing business as
- Havana Health Care Center
- Doing business as
- Havana Health Care Center
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2020-09-28
- Certified
- 2020-09-28
Frequently asked questions
- What is Havana Hco, LLC's NPI number?
- Havana Hco, LLC's National Provider Identifier (NPI) is 1346206315, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Havana Hco, LLC?
- Havana Hco, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Havana Hco, LLC located?
- Havana Hco, LLC's practice location on file with NPPES is 609 N Harpham St, Havana, IL 62644.
- What is Havana Hco, LLC's phone number?
- The practice phone number listed in the NPPES registry for Havana Hco, LLC is (309) 543-6121.
- Who is the authorized official for Havana Hco, LLC?
- The authorized official listed on Havana 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 Havana Hco, LLC's NPI active?
- Yes — Havana Hco, LLC's NPI (1346206315) is active in the NPPES registry as of the last update on 2020-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.