OrganizationActive
Collinsville Hco, LLC
NPI 1447883608 · Skilled Nursing Facility · Collinsville, IL
Provider details
- NPI number
- 1447883608
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Petersen, Manager(309) 689-5880
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
614 Summit Ave
Collinsville, IL 62234-3728
Phone: (618) 344-8476
Street-level locationGet directions
Mailing address
830 W Trailcreek Dr
Peoria, IL 61614-1862
Other names (DBA / former)
- Doing business as
- Collinsville Rehabilitation & Health Care Center
Registry dates
- Enumerated
- 2020-02-17
- Last updated
- 2020-05-13
- Certified
- 2020-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.