Casey Hco, LLC

Skilled Nursing Facility · Casey, IL

Organization Active NPI

NPI number 1275166423

Practice location

100 NE 15TH St
Casey, IL 62420-2152
Phone
(217) 932-5217

Open in Google Maps

NPI record

NPI
1275166423
Entity type
Organization (Type 2)
Enumeration date
February 17, 2020
Last updated
February 17, 2020
Certified
February 17, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Mailing address

830 W Trailcreek Dr
Peoria, IL 61614-1862
Phone
(309) 689-5880

Authorized official

Name
Mark B. Petersen
Title
Manager
Phone
(309) 689-5880

About Casey Hco, LLC

Casey Hco, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 100 NE 15TH St, Casey, IL 62420-2152. The NPI number 1275166423 was assigned on February 17, 2020 and the record was last updated on February 17, 2020.

The authorized official for this organization is Mark B. Petersen, Manager.

Frequently asked questions

What is the NPI number of Casey Hco, LLC?

The NPI number is 1275166423.

What is the phone number of Casey Hco, LLC?

The phone number listed for the practice location is (217) 932-5217.

Where is Casey Hco, LLC located?

100 NE 15TH St, Casey, IL 62420-2152.

What is the taxonomy code for Casey Hco, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Skilled Nursing Facility providers in Casey

All Skilled Nursing Facility providers in Casey, IL →