Petersen Health Care Roseville LLC
NPI 1710201793 · Skilled Nursing Facility · Roseville, 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 Roseville LLC is a Skilled Nursing Facility organization in Roseville, IL (NPI 1710201793).
Provider details
- NPI number
- 1710201793
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Petersen, Manager(309) 691-8113
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
16 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
- Roseville Rehabilitation & Health Care
Registry dates
- Enumerated
- 2010-03-20
- Last updated
- 2024-02-14
- Certified
- 2024-02-14
Frequently asked questions
- What is Petersen Health Care Roseville LLC's NPI number?
- Petersen Health Care Roseville LLC's National Provider Identifier (NPI) is 1710201793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petersen Health Care Roseville LLC?
- Petersen Health Care Roseville LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Petersen Health Care Roseville LLC located?
- Petersen Health Care Roseville LLC's practice location on file with NPPES is 145 S Chamberlain St, Roseville, IL 61473-9581.
- What is Petersen Health Care Roseville LLC's phone number?
- The practice phone number listed in the NPPES registry for Petersen Health Care Roseville LLC is (309) 691-8113.
- Does Petersen Health Care Roseville LLC accept Medicare?
- Petersen Health Care Roseville 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 Roseville LLC?
- The authorized official listed on Petersen Health Care Roseville 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 Petersen Health Care Roseville LLC's NPI active?
- Yes — Petersen Health Care Roseville LLC's NPI (1710201793) 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.