Petersen Management Company, LLC
NPI 1780767897 · Nursing Facility/Intermediate Care Facility · Mount Vernon, IL
Petersen Management Company, LLC is a Nursing Facility/Intermediate Care Facility organization in Mount Vernon, IL (NPI 1780767897).
Provider details
- NPI number
- 1780767897
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Petersen Health Care II, Inc.
- Organization subpart
- Yes
- Authorized official
- Mark Petersen, President(309) 691-8113
- License
- 0039800 (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
- Mt. Vernon Health Care Center
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2013-05-30
Frequently asked questions
- What is Petersen Management Company, LLC's NPI number?
- Petersen Management Company, LLC's National Provider Identifier (NPI) is 1780767897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petersen Management Company, LLC?
- Petersen Management Company, LLC is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Petersen Management Company, LLC located?
- Petersen Management Company, LLC's practice location on file with NPPES is 5 Doctors Park Rd, Mount Vernon, IL 62864-6224.
- What is Petersen Management Company, LLC's phone number?
- The practice phone number listed in the NPPES registry for Petersen Management Company, LLC is (618) 242-1064.
- Who is the authorized official for Petersen Management Company, LLC?
- The authorized official listed on Petersen Management Company, 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 Management Company, LLC's NPI active?
- Yes — Petersen Management Company, LLC's NPI (1780767897) is active in the NPPES registry as of the last update on 2013-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.