OrganizationActive
Decatur Hco, LLC
NPI 1790318954 · Skilled Nursing Facility · Decatur, IL
Decatur Hco, LLC is a Skilled Nursing Facility organization in Decatur, IL (NPI 1790318954).
Provider details
- NPI number
- 1790318954
- 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
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
136 S Dipper Ln
Decatur, IL 62522-1841
Phone: (217) 428-7767
Street-level locationGet directions
Mailing address
830 W Trailcreek Dr
Peoria, IL 61614-1862
Registry dates
- Enumerated
- 2020-02-17
- Last updated
- 2020-02-17
- Certified
- 2020-02-17
Frequently asked questions
- What is Decatur Hco, LLC's NPI number?
- Decatur Hco, LLC's National Provider Identifier (NPI) is 1790318954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Decatur Hco, LLC?
- Decatur Hco, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Decatur Hco, LLC located?
- Decatur Hco, LLC's practice location on file with NPPES is 136 S Dipper Ln, Decatur, IL 62522-1841.
- What is Decatur Hco, LLC's phone number?
- The practice phone number listed in the NPPES registry for Decatur Hco, LLC is (217) 428-7767.
- Who is the authorized official for Decatur Hco, LLC?
- The authorized official listed on Decatur Hco, 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 Decatur Hco, LLC's NPI active?
- Yes — Decatur Hco, LLC's NPI (1790318954) is active in the NPPES registry as of the last update on 2020-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.