OrganizationActive
Sullivan Hco, LLC
NPI 1417913583 · Skilled Nursing Facility · Sullivan, IL
Sullivan Hco, LLC is a Skilled Nursing Facility organization in Sullivan, IL (NPI 1417913583).
Provider details
- NPI number
- 1417913583
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Petersen, Manager(309) 689-5880
- License
- 0046425 (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
11 Hawthorne Ln
Sullivan, IL 61951-9490
Phone: (217) 728-4327
Fax: (217) 728-2263
Street-level locationGet directions
Mailing address
830 W Trailcreek Dr
Peoria, IL 61614-1862
Other names (DBA / former)
- Doing business as
- Sullivan Rehabilitation & Health Care Center
- Doing business as
- Sullivan Rehabilitation & Health Care Center
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2020-09-24
- Certified
- 2020-09-24
Frequently asked questions
- What is Sullivan Hco, LLC's NPI number?
- Sullivan Hco, LLC's National Provider Identifier (NPI) is 1417913583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sullivan Hco, LLC?
- Sullivan Hco, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Sullivan Hco, LLC located?
- Sullivan Hco, LLC's practice location on file with NPPES is 11 Hawthorne Ln, Sullivan, IL 61951-9490.
- What is Sullivan Hco, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sullivan Hco, LLC is (217) 728-4327.
- Who is the authorized official for Sullivan Hco, LLC?
- The authorized official listed on Sullivan 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 Sullivan Hco, LLC's NPI active?
- Yes — Sullivan Hco, LLC's NPI (1417913583) is active in the NPPES registry as of the last update on 2020-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.