PETERSEN HEALTH PROPERTIES, LLC (NPI# 1598702862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598702862 |
Entity Type | Organization |
Organization Name | PETERSEN HEALTH PROPERTIES, LLC |
Other Organization Name | JONESBORO REHABILITATION & HEALTH CARE CENTER |
Practice Address |
995 State Route 127 S Box B Jonesboro IL 62952-2423 |
Mailing Address |
830 W Trailcreek Dr Peoria IL 61614-1862 |
Practice Telephone | 6188337093 |
Practice Fax Number | 6188334825 |
Mailing Telephone | 3096918113 |
Mailing Fax Number | 3096918622 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2019-12-31 |
Authorized Official Name | MARK B. 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 | 0043562 | IL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 20-3224201016 | 05 |
Other Name | Type Code |
---|---|
Jonesboro Rehabilitation & Health Care Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730112939 | Petersen Health Properties, LLC | Skilled Nursing Facility | 746 W Spring St, South Elgin, IL 60177-1424 | 2006-07-09 |
1730127218 | Petersen Health Properties, LLC | Skilled Nursing Facility | 400 W Grant St, Macomb, IL 61455-2867 | 2006-06-04 |
Street Address |
995 STATE ROUTE 127 S BOX B |
City | JONESBORO |
State | IL |
Zip Code | 62952-2423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588120463 | Cody Hubble | Physical Therapist | 995 Route 127 South, Jonesboro, IL 62952 | 2019-02-15 |
1043464746 | Petersen Health Operations, LLC | Skilled Nursing Facility | 995 State Rt 127 S, Jonesboro, IL 62952 | 2008-11-07 |
1619094364 | Jonesboro Cc School Dist 43 | Clinic/Center | 309 Cook Ave, Jonesboro, IL 62952 | 2007-03-26 |
1861588097 | County of Union | Ambulance | 204 W Mississippi St, Jonesboro, IL 62952-0037 | 2006-10-05 |
1568686947 | Lincoln Square | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 202 South Main St, Jonesboro, IL 62952-0112 | 2007-04-13 |
1083692347 | Witold Szyfer | Internal Medicine | 301 S Orange St, Jonesboro, IL 62952-1104 | 2006-01-06 |
1780133397 | David Adams | Contractor | 308 Willards Ferry Rd, Jonesboro, IL 62952-1113 | 2016-09-23 |
1770009417 | Allison Bean | Speech-Language Pathologist | 309 Cook Ave, Jonesboro, IL 62952-1118 | 2017-08-15 |
1285805705 | Jonesboro School District 43 | Clinic/Center | 309 Cook Ave, Jonesboro, IL 62952-1118 | 2008-03-13 |
1336260256 | Jimmie R Livesay | Psychologist | 514 N Main St, Jonesboro, IL 62952-1800 | 2007-04-02 |
Find all providers in zip 62952 |
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 |
---|---|---|---|---|
1164856522 | Jonesboro Health and Rehab, LLC | Skilled Nursing Facility | 1705 Latourette Ln, Jonesboro, AR 72404-0797 | 2013-08-21 |
1043464746 | Petersen Health Operations, LLC | Skilled Nursing Facility | 995 State Rt 127 S, Jonesboro, IL 62952 | 2008-11-07 |
1386821650 | Jbnc, Inc. | Skilled Nursing Facility | 5504 E Johnson Ave., Jonesboro, AR 72401-8309 | 2008-01-29 |
1184703993 | Craighead Nursing Center | Skilled Nursing Facility | 5101 Harrisburg Rd, Jonesboro, AR 72404-8729 | 2006-11-03 |
1992814644 | Jonesboro Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2650 Highway 138 E, Jonesboro, GA 30236-2744 | 2006-08-29 |
1154331239 | Jonesboro Healthcare Center, LLC | Skilled Nursing Facility | 800 Southwest Dr, Jonesboro, AR 72401 | 2006-08-09 |
1316914302 | Arrowhead Healthcare, LLC | Skilled Nursing Facility | 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 | 2006-03-08 |
1366423550 | Forest Haven Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 171 Thrasher Dr, Jonesboro, LA 71251-4125 | 2005-11-07 |
1427039585 | Wyatt Manor Nursing & Rehabilitation Center, Inc. | Skilled Nursing Facility | 4659 Highway 505, Jonesboro, LA 71251-5891 | 2005-11-07 |
1942297411 | Kmj Enterprises Skill Care LLC | Skilled Nursing Facility | 2911 Browns Ln, Jonesboro, AR 72401-7204 | 2005-09-30 |
Find all providers in JONESBORO |
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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.