Charleston Rehab & Health Care Center

LBN: Charleston Hco Llc
Charleston Rehab & Health Care Center is an health care organization with primary practice located at 716 18Th St , Charleston IL 61920-2382. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Charleston Hco Llc can be contacted via phone (217) 345-7054, or through Petersen, Mark via phone (309) 689-5880.

Contact Information

Primary practice address
716 18Th St Charleston IL 61920-2382
Phone: (217) 345-7054
Fax: (217) 348-1264
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Mark
Phone: (309) 689-5880

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0040311 Illinois

Profile Details

NPI number 1508956459
LBN Legal business name Charleston Hco Llc
DBA Doing business as Charleston Rehab & Health Care Center
Authorized official Petersen, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 19th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508956459 NPPES
Illinois MEDICAID 270376016009

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