PETERSEN HEALTH CARE - FARMER CITY, LLC (NPI# 1487633269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487633269 |
| Entity Type | Organization |
| Organization Name | PETERSEN HEALTH CARE - FARMER CITY, LLC |
| Other Organization Name | FARMER CITY REHAB & HEALTH CARE |
| Practice Address |
404 Brookview Dr Farmer City IL 61842-9746 |
| Mailing Address |
830 W Trailcreek Dr Peoria IL 61614-1862 |
| Practice Telephone | 3096918113 |
| Practice Fax Number | 3096898622 |
| Mailing Telephone | 3096918113 |
| Mailing Fax Number | 3096911862 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | MR. MARK PETERSEN (MANAGER) |
| Authorized Official Telephone | 3096918113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 000041251 | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 300318970008 | 05 |
| Other Name | Type Code |
|---|---|
| Farmer City Rehab & Health Care | Doing Business As Name - Organization |
| Street Address |
404 BROOKVIEW DR |
| City | FARMER CITY |
| State | IL |
| Zip Code | 61842-9746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992958201 | Kara Stockwill | Occupational Therapy Assistant | 404 Brookview Dr, Farmer City, IL 61842-9746 | 2008-10-30 |
| 1194978817 | Cezario Gutierrez Jr | Physical Therapist | 404 Brookview Dr, Farmer City, IL 61842-9746 | 2008-10-25 |
| 1184882490 | Petersen Health Care - Farmer City | Skilled Nursing Facility | 404 Brookview Dr, Farmer City, IL 61842-9746 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417088477 | Farmer City Chiropractic Office P.C. | Chiropractor | 2564 E. Hwy 54 West, Farmer City, IL 61842 | 2007-03-08 |
| 1790822344 | Aaron G. Skinner | Chiropractor | 2564e Hwy 54 West, Farmer City, IL 61842-0026 | 2007-01-31 |
| 1235350273 | Blue Ridge Cusd #18 | Local Education Agency (LEA) | 411 N John St, Farmer City, IL 61842-1159 | 2007-05-01 |
| 1457695371 | Bobbi S Kennedy | Social Worker | 515 W Indiana St, Farmer City, IL 61842-1384 | 2012-11-15 |
| 1164964144 | Patricia J Spurlock | Chiropractor | 1401 W Clinton Ave, Farmer City, IL 61842-1392 | 2016-11-08 |
| 1275674640 | Farmer City Ambulance Srvc Inc | Ambulance | 105 S Main Street, Farmer City, IL 61842-1453 | 2007-02-09 |
| 1295763043 | George Ernshaw Castrovillo | Family Medicine | 109 S Main St, Farmer City, IL 61842-1453 | 2006-06-29 |
| 1548436488 | Mimi Marks | Contractor | 120 S Main St, Farmer City, IL 61842-1454 | 2008-04-30 |
| 1164605549 | Terry Lee Craddock | Massage Therapist | 120 S Main St, Farmer City, IL 61842-1454 | 2007-12-09 |
| 1265897409 | Hac 4 LLC | Pharmacy | 217 S Main St, Farmer City, IL 61842-1455 | 2015-12-15 |
| Find all providers in zip 61842 | ||||
| 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 |
|---|---|---|---|---|
| 1184882490 | Petersen Health Care - Farmer City | Skilled Nursing Facility | 404 Brookview Dr, Farmer City, IL 61842-9746 | 2008-05-23 |
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|---|---|---|---|---|
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| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
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| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
| 1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| Find all providers with the same taxonomy | ||||
| City | FARMER CITY |
| Zip Code | 61842 |
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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.