CASEY HEALTH CARE CENTER
NPI 1093771800
Skilled Nursing Facility in Casey, IL


Overall Rating: 1 out of 5 stars

NPI Status: Active since April 21, 2006

Contact Information

100 NE 15TH ST
CASEY, IL
ZIP 62420
Phone: (217) 932-5217
Fax: (217) 932-5408

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 14D0683305
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About CASEY HEALTH CARE CENTER

This page provides the complete NPI Profile along with additional information for Casey Health Care Center, a provider established in Casey, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1093771800 assigned on April 2006. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Casey Health Care Center. The authorized official of this NPI record is Mark B. Petersen (Manager)

NPI
1093771800
Provider Legal Name
CASEY HCO, LLC
Other Organization Name
CASEY HEALTH CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 NE 15TH ST CASEY, IL 62420
Location Phone
(217) 932-5217
Location Fax
(217) 932-5408
Mailing Address
830 W TRAILCREEK DR PEORIA, IL 61614
Mailing Phone
(309) 691-8113
Mailing Fax
(217) 932-5408
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-21-2006
Last Update Date
09-15-2020
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According to the Nursing Home Compare program data, Casey Health Care Center has a much below average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 1 out of 5 stars provide a snapshot of this nursing home quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK B. PETERSEN

Authorized Official Title
MANAGER
Authorized Official Phone
(309) 689-5880

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
74-3055934007MEDICAID (05)IL 

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 1 out of 5 stars - Much Below Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 1 out of 5 stars - Much Below Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 1 out of 5 stars - Much Below Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 3 out of 5 stars - Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 2 out of 5 stars - Below Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours1.97 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.34 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
Ownership TypeFor profit - Individual
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds69 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day49 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents12 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints11 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties0 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines0 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$0.00
Total monetary amount of fine imposed on the facility in the last 3 years.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0683305
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
CHAIM MILLMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Casey Health Care Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CASEY HEALTH CARE CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093771800
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20183147280
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 1 + 4 + 7 + 2 + 8 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1093771800 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033364146 LINDA MASON PTA
Individual
Physical Therapy Assistant100 NE 15TH ST
CASEY, IL 62420
(217) 932-5307
1124358064 KATIE NORMAN COTA
Individual
Occupational Therapy Assistant100 NE 15TH ST
CASEY, IL 62420
(217) 932-5307
1902322076 MAKENZIE ALICEN GOBLE M.S. CF-SLP
Individual
Speech-Language Pathologist100 NE 15TH ST
CASEY, IL 62420
(217) 932-5217
1275166423CASEY HCO, LLC
Organization
Skilled Nursing Facility100 NE 15TH ST
CASEY, IL 62420
(217) 932-5217
1386471886CASEY REHAB AND NURSING LLC
Organization
Skilled Nursing Facility100 NE 15TH ST
CASEY, IL 62420
(217) 932-5217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093771800, enumerated in the NPI registry as an "organization" on April 21, 2006

The provider is located at 100 Ne 15th St Casey, Il 62420 and the phone number is (217) 932-5217

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 14D0683305 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

The Overall Quality Rating for this nursing home is 1 out of 5 stars which is much below average when compared to other nursing homes. The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.

This NPI record was last updated on April 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.