Havana Hco, LLC
Skilled Nursing Facility · Havana, IL
Practice location
609 N Harpham StHavana, IL 62644-1249
- Phone
- (309) 543-6121
NPI record
- NPI
- 1760015929
- 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
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X |
— | — |
Mailing address
830 W Trailcreek DrPeoria, IL 61614-1862
- Phone
- (309) 689-5880
Authorized official
- Name
- Mark B. Petersen
- Title
- Manager
- Phone
- (309) 691-8113
About Havana Hco, LLC
Havana Hco, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 609 N Harpham St, Havana, IL 62644-1249. The NPI number 1760015929 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 Havana Hco, LLC?
The NPI number is 1760015929.
What is the phone number of Havana Hco, LLC?
The phone number listed for the practice location is (309) 543-6121.
Where is Havana Hco, LLC located?
609 N Harpham St, Havana, IL 62644-1249.
What is the taxonomy code for Havana 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 Havana
- Havana Hco, LLC609 N Harpham St
- Arcadia Care Havana LLC609 N Harpham St