OrganizationActive
Proctor Community Hospital
NPI 1821068404 · Skilled Nursing Facility · Peoria, IL
Provider details
- NPI number
- 1821068404
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Proctor Community Hospital
- Organization subpart
- Yes
- Authorized official
- Deborah Simon, President/Ceo(309) 672-5928
- License
- 1677264 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
5409 N Knoxville Ave
Peoria, IL 61614-5016
Phone: (309) 691-1000
Fax: (309) 671-8265
Street-level locationGet directions
Mailing address
5409 N Knoxville Ave
Peoria, IL 61614-5016
Other names (DBA / former)
- Doing business as
- Proctor Hospital Skilled Nursing
Registry dates
- Enumerated
- 2006-01-25
- Last updated
- 2015-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.