OrganizationActive
Petersen Health Operations
NPI 1548414550 · Skilled Nursing Facility · East Peoria, IL
Provider details
- NPI number
- 1548414550
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Petersen, Manager(309) 691-8113
- License
- 0047472 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
901 Illini Dr
East Peoria, IL 61611-1840
Phone: (309) 694-6446
Street-level locationGet directions
Mailing address
830 W Trailcreek Dr
Peoria, IL 61614-1862
Other names (DBA / former)
- Doing business as
- Fondulac Rehabilitation & Health Care Center
Registry dates
- Enumerated
- 2008-11-05
- Last updated
- 2008-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.