Sullivan Rehabilitation & Health Care Center

LBN: Sullivan Hco, Llc
Sullivan Rehabilitation & Health Care Center is an health care organization with primary practice located at 11 Hawthorne Ln , Sullivan IL 61951-9490. 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. Sullivan Hco, Llc can be contacted via phone (217) 728-4327, or through Petersen, Mark B. via phone (309) 689-5880.

Contact Information

Primary practice address
11 Hawthorne Ln Sullivan IL 61951-9490
Phone: (217) 728-4327
Fax: (217) 728-2263
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Mark B.
Phone: (309) 689-5880

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0046425 Illinois

Profile Details

NPI number 1417913583
LBN Legal business name Sullivan Hco, Llc
DBA Doing business as Sullivan Rehabilitation & Health Care Center
Authorized official Petersen, Mark B.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 24th, 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 1417913583 NPPES
Illinois MEDICAID 743055934006

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