MEDICARE: BEMENT HCO, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	0046052	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598721581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEMENT HCO, LLC

Provider Business Mailing Address
First Line	:	830 W TRAILCREEK DR
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61614-1862
Country	:	US
Telephone Number	:	309-691-8113
Fax Number	:	309-691-8622

Provider Business Practice Location Address
First Line	:	601 N MORGAN ST
Second Line	:
City	:	BEMENT
State	:	IL
Zip	:	61813
Country	:	US
Telephone Number	:	217-678-2191
Fax Number	:	217-678-3602

Authorized Official
Title or Position	:	MANAGER
Name	:	MARK B. PETERSEN
Credential	:
Telephone Number	:	309-689-5880

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	09/28/2020

Similar Medicare Providers

1134304678 — BEMENT COMMUNITY UNIT SCHOOL
Practice Location Address:

201 S CHAMPAIGN ST
BEMENT, IL
61813-1512

Practice Phone: 217-678-4200
Practice Fax:

1265683429 — PETERSEN HEALTH CARE, INC
Practice Location Address:

601 N MORGAN ST
BEMENT, IL
61813-1046

Practice Phone: 217-678-2191
Practice Fax:

1740594753 — LESLEY LOU LIEB M.S. CCC-SLP/L
Practice Location Address:

1260 E 1100 NORTH RD
BEMENT, IL
61813-3507

Practice Phone: 217-520-4526
Practice Fax:

1306113162 — MR. DAVID WAYNE SECREST RPH
Practice Location Address:

265 W BOND ST
BEMENT, IL
61813-1404

Practice Phone: 217-493-9625
Practice Fax:

1265945315 — MS. ERIN ANDERSON M.S. CCC-SLP
Practice Location Address:

201 S CHAMPAIGN ST
BEMENT, IL
61813-1512

Practice Phone: 217-678-4200
Practice Fax:

1720611973 — BEMENT HCO, LLC
Practice Location Address:

601 N MORGAN ST
BEMENT, IL
61813-1046

Practice Phone: 217-678-2191
Practice Fax:

Directions to “BEMENT HCO, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.