CYE SULLIVAN HCO LLC NPI 1164055323

NPI Information

  • NPI: 1164055323
  • Provider Name: CYE SULLIVAN HCO, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 20 COURTYARD BLVD
    SULLIVAN, IL
    ZIP 61951
  • Phone: (217) 728-4300

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NPI Details

CYE SULLIVAN HCO, LLC is an assisted living facility in Sullivan, IL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CYE SULLIVAN HCO, LLC NPI is 1164055323. The provider is registered as an organization entity type.

The provider's business location address is:

20 COURTYARD BLVD
SULLIVAN, IL
ZIP 61951-001
Phone: (217) 728-4300

The provider's authorized official is Mark B. Petersen .
The authorized official title is Manager and has the following contact phone number (309) 691-8113.

The enumeration date for this NPI number is 2/17/2020 and was last updated on 2/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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