Petersen Health Care - Illini, LLC
NPI 1619083730 · Skilled Nursing Facility · Champaign, IL
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Petersen Health Care - Illini, LLC is a Skilled Nursing Facility organization in Champaign, IL (NPI 1619083730).
Provider details
- NPI number
- 1619083730
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Petersen, President(309) 691-8113
- License
- 0042440 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Illini Heritage Rehab & Health Care
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2024-02-14
- Certified
- 2024-02-14
Frequently asked questions
- What is Petersen Health Care - Illini, LLC's NPI number?
- Petersen Health Care - Illini, LLC's National Provider Identifier (NPI) is 1619083730, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petersen Health Care - Illini, LLC?
- Petersen Health Care - Illini, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Petersen Health Care - Illini, LLC located?
- Petersen Health Care - Illini, LLC's practice location on file with NPPES is 1315 Curt Drive, Champaign, IL 61820.
- What is Petersen Health Care - Illini, LLC's phone number?
- The practice phone number listed in the NPPES registry for Petersen Health Care - Illini, LLC is (217) 352-5707.
- Does Petersen Health Care - Illini, LLC accept Medicare?
- Petersen Health Care - Illini, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Petersen Health Care - Illini, LLC?
- The authorized official listed on Petersen Health Care - Illini, LLC's NPPES record is Mark Petersen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petersen Health Care - Illini, LLC's NPI active?
- Yes — Petersen Health Care - Illini, LLC's NPI (1619083730) is active in the NPPES registry as of the last update on 2024-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.