PETERSEN HEALTH PROPERTIES, LLC


Address: 995 State Route 127 S, Box B, Jonesboro, IL 62952-2423
Phone: 6188337093

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 0043562 IL Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL 20-3224201016 05

Other Provider/Organization Names

Other Name Type Code
Jonesboro Rehabilitation & Health Care Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 995 STATE ROUTE 127 S
BOX B
City JONESBORO
State IL
Zip Code 62952-2423

Providers in the same zip code

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 Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

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City JONESBORO
Zip Code 62952

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Dataset Information

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.

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