Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Petersen Management Company, LLC

Organization Nursing Facility/Intermediate Care Facility · NPI 1780767897

Petersen Management Company, LLC is a Nursing Facility/Intermediate Care Facility in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5 Doctors Park Rd
Mount Vernon, IL 62864-6224
Phone: (618) 242-1064
Fax: (618) 242-7559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 0039800 (IL)

Record details

NPI number1780767897
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPetersen Health Care II, Inc
Authorized official Mark Petersen — President · (309) 691-8113
Other names Mt. Vernon Health Care Center
NPI enumeratedOctober 23, 2006
Last updated in NPPESMay 30, 2013
Mailing address830 W Trailcreek Dr, Peoria, IL 61614-1862

Other providers in Mount Vernon