PETERSEN HEALTH CARE VII, LLC (NPI# 1225270283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225270283 |
| Entity Type | Organization |
| Organization Name | PETERSEN HEALTH CARE VII, LLC |
| Other Organization Name | SHAWNEE ROSE CARE CENTER |
| Practice Address |
1000 W Sloan St Harrisburg IL 62946-2234 |
| Mailing Address |
830 W Trailcreek Dr Peoria IL 61614-1862 |
| Practice Telephone | 6182520351 |
| Mailing Telephone | 3096918113 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | MR. MARK B PETERSEN (PRESIDENT) |
| Authorized Official Telephone | 3096918113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0050351 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Shawnee Rose Care Center | Doing Business As Name - Organization |
| Street Address |
1000 W SLOAN ST |
| City | HARRISBURG |
| State | IL |
| Zip Code | 62946-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195117 | Leslie Wheeler | Pharmacist | #4 Commercial Drive, Harrisburg, IL 62946 | 2020-08-18 |
| 1215337266 | Prn Pharmacies Ltd | Durable Medical Equipment & Medical Supplies | 501 E. Sloan St., Harrisburg, IL 62946 | 2014-08-27 |
| 1316293855 | Steward Chiropractic Center, LLC | Chiropractor | 608 Rollie Moore Dr., Suite 2, Harrisburg, IL 62946 | 2012-08-02 |
| 1558664664 | Harrisburg Medical Center Inc | Clinic/Center | 183 W Lane St, Equality, IL 62946 | 2010-12-10 |
| 1588849178 | Scarlett Annette Oyler | Technician, Other | 607 W Commercial Suite, Harrisburg, IL 62946 | 2008-01-02 |
| 1043427958 | Debbie Oglesby | Case Manager/Care Coordinator | #22 Veterans Drive, Harrisburg, IL 62946 | 2007-05-17 |
| 1336272764 | Coleman Tri-county Services, Inc. | Community/Behavioral Health | # 22 Veterans Drive, Harrisburg, IL 62946 | 2007-03-14 |
| 1437212081 | Harris Frank LLC | Skilled Nursing Facility | Harrisburg Care Center, 1000 West Sloan St, Harrisburg, IL 62946 | 2006-12-18 |
| 1932269701 | Leanne H Deneal | Physician Assistant | 28 Veteran's Drive, Harrisburg, IL 62946 | 2006-12-11 |
| 1881646990 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 20 Veterans Drive, Harrisburg, IL 62946 | 2006-05-17 |
| Find all providers in zip 62946 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922626290 | Brsi, Lp | Skilled Nursing Facility | 303 Walnut St Fl 7, Harrisburg, PA 17101-1825 | 2020-07-13 |
| 1093067910 | Genesis Healthcare Corporation | Skilled Nursing Facility | 1801 N 5th Street, Harrisburg, PA 17102-1510 | 2012-10-03 |
| 1609068444 | Linda Johnson Krouse | Skilled Nursing Facility | 773 Piketown Rd, Harrisburg, MA 17112 | 2007-08-15 |
| 1437212081 | Harris Frank LLC | Skilled Nursing Facility | Harrisburg Care Center, 1000 West Sloan St, Harrisburg, IL 62946 | 2006-12-18 |
| 1700833233 | Pruitthealth - Town Center, LLC | Skilled Nursing Facility | 6300 Roberta Rd, Harrisburg, NC 28075-9416 | 2006-05-29 |
| 1538119573 | Ggnsc Harrisburg Lp | Skilled Nursing Facility | 3625 N Progress Ave, Harrisburg, PA 17110-9690 | 2006-05-11 |
| 1023005766 | Villa Teresa | Skilled Nursing Facility | 1051 Avila Rd, Harrisburg, PA 17109-5304 | 2005-09-27 |
| 1225036478 | Colonial Park Care Center, LLC | Skilled Nursing Facility | 800 King Russ Rd, Harrisburg, PA 17109-5101 | 2005-07-12 |
| 1396284188 | Saline Care Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 120 S Land St, Harrisburg, IL 62946-1849 | 2017-02-14 |
| 1043752637 | The Meadows At Harrisburg for Nursing and Rehabilitation LLC | Skilled Nursing Facility | 3625 N Progress Ave, Harrisburg, PA 17110-9690 | 2016-11-14 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 62946 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.