TUSCOLA HCO, LLC
NPI 1609976869
Skilled Nursing Facility in Tuscola, IL

NPI Status: Active since September 25, 2006

Contact Information

1203 EGYPTIAN TRL
TUSCOLA, IL
ZIP 61953
Phone: (217) 253-4791
Fax: (217) 253-3754

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  • Organization
  • Skilled Nursing Facility

About TUSCOLA HCO, LLC

This page provides the complete NPI Profile along with additional information for Tuscola Hco, Llc, a provider established in Tuscola, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1609976869 assigned on September 2006. The practitioner's primary taxonomy code is 314000000X with license number 0046805 (IL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mark B. Petersen (Manager)

NPI
1609976869
Provider Name
TUSCOLA HCO, LLC
Entity Type
Organization
Location Address
1203 EGYPTIAN TRL TUSCOLA, IL 61953
Location Phone
(217) 253-4791
Location Fax
(217) 253-3754
Mailing Address
830 W TRAILCREEK DR PEORIA, IL 61614
Mailing Phone
(309) 691-8113
Mailing Fax
(217) 253-3754
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2006
Last Update Date
09-24-2020
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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
License No.
0046805
License State
IL
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:

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
474213665001MEDICAID (05)IL 

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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.
1609976869
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260918712812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 7 + 1 + 2 + 8 + 1 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1609976869 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497906648PETERSEN HEALTH ENTERPRISES LLC
Organization
Skilled Nursing Facility1203 EGYPTIAN TRL
TUSCOLA, IL 61953
(217) 253-4791
1184257362TUSCOLA HCO, LLC
Organization
Skilled Nursing Facility1203 EGYPTIAN TRL
TUSCOLA, IL 61953
(217) 253-4791
1386367852 ABRAHAM ISAAC DIAZ
Individual
Occupational Therapy Assistant1203 EGYPTIAN TRL
TUSCOLA, IL 61953
(217) 253-4791
1114746260HAVEN OF TUSCOLA, LLC
Organization
Skilled Nursing Facility1203 EGYPTIAN TRL
TUSCOLA, IL 61953
(217) 253-4791

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609976869, enumerated in the NPI registry as an "organization" on September 25, 2006

The provider is located at 1203 Egyptian Trl Tuscola, Il 61953 and the phone number is (217) 253-4791

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 25, 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].
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