OrganizationActive
Patterson House, Inc.
NPI 1548433154 · Intellectual Disabilities Intermediate Care Facility · Canton, IL
Provider details
- NPI number
- 1548433154
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Marcia Rose, Rsd(309) 647-6604
- License
- 0039354 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Transportation Services
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1577 E Myrtle St
Canton, IL 61520-1520
Phone: (309) 647-6604
Fax: (309) 647-0440
Street-level locationGet directions
Mailing address
Po Box 25527
Decatur, IL 62525-5527
Other names (DBA / former)
- Doing business as
- Emerald Estades
Registry dates
- Enumerated
- 2008-04-04
- Last updated
- 2008-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.