PETERSEN COMPANIES, LLC (NPI# 1548411705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548411705 |
| Entity Type | Organization |
| Organization Name | PETERSEN COMPANIES, LLC |
| Other Organization Name | EL PASO HEALTH CARE CENTER |
| Practice Address |
850 E 2nd St El Paso IL 61738-1309 |
| Mailing Address |
830 W Trailcreek Dr Peoria IL 61614-1862 |
| Practice Telephone | 3095272700 |
| Mailing Telephone | 3096918113 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Authorized Official Name | 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 | 0046706 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| El Paso Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487806162 | Petersen Companies, LLC | Skilled Nursing Facility | 101 N B St, La Harpe, IL 61450-4937 | 2008-10-14 |
| 1396830154 | Petersen Companies, LLC | Nursing Facility/Intermediate Care Facility | 300 N Marietta St, Greenup, IL 62428-1103 | 2006-10-04 |
| 1871745059 | Petersen Companies, LLC | Skilled Nursing Facility | 16827 1410 North Ave, Princeton, IL 61356-6871 | 2008-10-21 |
| 1962654145 | Petersen Companies, LLC | Skilled Nursing Facility | 701 Shadwell Ave, Flora, IL 62839-2310 | 2008-10-21 |
| 1780836965 | Petersen Companies, LLC | Skilled Nursing Facility | 900 N 3rd St, Rochelle, IL 61068-1666 | 2008-10-21 |
| 1629229885 | Petersen Companies, LLC | Skilled Nursing Facility | 201 E Falcon Hwy, Flanagan, IL 61740-9108 | 2008-10-07 |
| 1346491503 | Petersen Companies, LLC | Skilled Nursing Facility | 716 18th St, Charleston, IL 61920-2382 | 2008-10-07 |
| Street Address |
850 E 2ND ST |
| City | EL PASO |
| State | IL |
| Zip Code | 61738-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568562858 | El Paso Hco LLC | Skilled Nursing Facility | 850 E 2nd St, El Paso, IL 61738-1309 | 2006-09-25 |
| 1295374122 | El Paso Hco LLC | Skilled Nursing Facility | 850 E 2nd St, El Paso, IL 61738-1309 | 2019-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619052701 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 137 W. Front Street, El Paso, IL 61738 | 2006-10-26 |
| 1053838755 | Tamara Anderson | Speech-Language Pathologist | 250 W 3rd St, El Paso, IL 61738-1034 | 2017-08-24 |
| 1073733523 | El Paso-gridley Cusd #11 | Local Education Agency (LEA) | 97 W 5th St, El Paso, IL 61738-1049 | 2007-04-26 |
| 1710921465 | Glenn Webster Payton | Chiropractor | 425 W Front St, El Paso, IL 61738-1422 | 2006-06-15 |
| 1538169081 | Daniel Chester Luban | Chiropractor | 455 W Front St, El Paso, IL 61738-1422 | 2005-07-27 |
| 1053951855 | Paige C. Dennis | Nurse Practitioner | 360 W Lincoln St, El Paso, IL 61738-1433 | 2020-01-09 |
| 1164524831 | Abby Jane Mccarthy | Social Worker | 600 S Fayette St Ste 4, El Paso, IL 61738-1478 | 2006-09-02 |
| 1871013540 | Mccarthy Counseling | Social Worker | 600 S Fayette St Ste 4, El Paso, IL 61738-1478 | 2017-06-23 |
| 1053826719 | Katie Russow | Speech-Language Pathologist | 350 S Sycamore St, El Paso, IL 61738-1480 | 2017-12-04 |
| 1275089237 | Airn Houlahan | Chiropractor | 17 Westgate Dr, El Paso, IL 61738-1485 | 2016-08-30 |
| Find all providers in zip 61738 | ||||
| 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 |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1215493416 | Patriot Rehabilitation and Wellness Center LLC | Skilled Nursing Facility | 11490 Gateway North Blvd., El Paso, TX 79934 | 2019-02-13 |
| 1518478031 | Penan Retirement Centers Limited Partnership | Skilled Nursing Facility | 221 Bartlett Dr, El Paso, TX 79912-1607 | 2017-10-24 |
| 1821536319 | Vibralife of El Paso LLC | Skilled Nursing Facility | 3421 Joe Battle Blvd, El Paso, TX 79938-2638 | 2017-02-06 |
| 1376927418 | Gruenepointe 1 El Paso, LLC | Skilled Nursing Facility | 10350 Montana Ave, El Paso, TX 79925-1602 | 2015-07-18 |
| 1306249834 | Ector County Hospital District | Skilled Nursing Facility | 1599 Lomaland Drive, El Paso, TX 79935 | 2014-09-29 |
| 1497158927 | Ector County Hospital District | Skilled Nursing Facility | 11525 Vista Del Sol Drive, El Paso, TX 79936 | 2014-09-29 |
| 1033518535 | St Giles Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 950 Camino Del Rey, El Paso, TX 79927-4288 | 2014-08-20 |
| 1356788897 | St Teresa Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 10350 Montana Avenue, El Paso, TX 79925-1602 | 2013-05-23 |
| Find all providers in EL PASO | ||||
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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.