PETERSEN HEALTH RESOURCES LLC NPI 1932209160

NPI Information

  • NPI: 1932209160
  • Provider Name: PETERSEN HEALTH RESOURCES, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SIMPLE BLESSINGS
  • CLIA Number: 14D2192579
  • Address: 203 E MONROE AVE
    CASEY, IL
    ZIP 62420
  • Phone: (217) 932-2603

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NPI Details

PETERSEN HEALTH RESOURCES, LLC is an assisted living facility in Casey, 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. PETERSEN HEALTH RESOURCES, LLC NPI is 1932209160. The provider is registered as an organization entity type.
The provider Is Doing Business As Simple Blessings.

The provider's business location address is:

203 E MONROE AVE
CASEY, IL
ZIP 62420-764
Phone: (217) 932-2603
Fax: (217) 932-5150

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

The CLIA number assigned to this NPI record is 14D2192579 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/22/2020.

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 FacilityAPPLIED FORILLINOISYes

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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