Organization provider

PETERSEN HEALTH JUNCTION, LLC

Skilled Nursing Facility Medicare enrolled

PETERSEN HEALTH JUNCTION, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104882919, based in Canton, IL. It is classified under Skilled Nursing Facility.

Getting there

The practice address on file is 129 S 1ST AVE, Canton, IL 61520. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

129 S 1ST AVE, Canton, IL 61520 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
0046094 IL Skilled Nursing Facility primary

This provider holds licence 0046094 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part A Provider - Skilled Nursing Facility
PAC ID
7012137177

Medicare enrolment is recorded as approved under the provider type Part A Provider - Skilled Nursing Facility. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Skilled Nursing Facility covers

(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. NUCC Health Care Provider Taxonomy, code 314000000X
Nursing & Custodial Care Facilities Skilled Nursing Facility

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104882919 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateApr 21, 2006
Last updatedFeb 14, 2024
StatusActive
Practice address 129 S 1ST AVE
Canton, IL 61520
(309) 647-4327
Fax (309) 647-4354
Mailing address 830 W TRAILCREEK DR
Peoria, IL 61614
Other identifiers 37-1068286001 (IL)
This record was updated on Feb 14, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1104882919 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 8 8 2 9 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 7 8 4 9 2

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104882919?
NPI 1104882919 is the National Provider Identifier assigned to PETERSEN HEALTH JUNCTION, LLC in Canton, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Skilled Nursing Facility cover?
(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…
How do I contact PETERSEN HEALTH JUNCTION, LLC?
The phone number on file with NPPES is (309) 647-4327, last updated Feb 14, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does PETERSEN HEALTH JUNCTION, LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104882919 a valid number?
Yes. 1104882919 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.