ROSICLARE HCO, LLC (NPI# 1609892793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609892793 |
| Entity Type | Organization |
| Organization Name | ROSICLARE HCO, LLC |
| Other Organization Name | ROSICLARE REHABILITATION & HEALTH CARE CENTER |
| Practice Address |
Route1, Box 55a Rosiclare IL 62982 |
| Mailing Address |
830 W Trailcreek Dr Peoria IL 61614-1862 |
| Practice Telephone | 6182853655 |
| Practice Fax Number | 6182856667 |
| Mailing Telephone | 3096918113 |
| Mailing Fax Number | 3096918622 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | MARK B. PETERSEN (MANAGER) |
| Authorized Official Telephone | 3096895880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0047548 | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 203224201017 | 05 |
| Other Name | Type Code |
|---|---|
| Rosiclare Rehabilitation & Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
| Street Address |
ROUTE1, BOX 55A |
| City | ROSICLARE |
| State | IL |
| Zip Code | 62982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588018188 | Cheryl Hicks | Nurse Practitioner | 6 Ferrell Rd, Rosiclare, IL 62982 | 2016-04-20 |
| 1982992426 | Megan Leahy | Speech-Language Pathologist | 55 Ferrell Road, Rosiclare, IL 62982 | 2011-07-19 |
| 1952555658 | Petersen Health Operations, LLC | Skilled Nursing Facility | Rt 1 Ferrel Rd, Rosiclaire, IL 62982 | 2008-11-07 |
| 1447441308 | Southern Illinois Oxygen, Inc | Durable Medical Equipment & Medical Supplies | Rr 146, Rosiclare, IL 62982 | 2007-08-06 |
| 1770705824 | Kandy Kaye Willis | Pharmacist | #6 Ferrell Road, Rosiclare, IL 62982 | 2007-05-02 |
| 1659405850 | Petersen Health Network, LLC | Nursing Facility/Intermediate Care Facility | 201 Spring Street, Rosiclare, IL 62982 | 2007-03-16 |
| 1700986114 | Della Darlene Pugh | Durable Medical Equipment & Medical Supplies | Junction 34 & Rte 146, Rosiclare, IL 62982 | 2006-09-25 |
| 1255331625 | Marcos N Sunga Jr. | Internal Medicine | 1 Ferrell Rd, Rosiclare, IL 62982 | 2005-07-28 |
| 1376543702 | Eladio M Chatto | Internal Medicine | 6 Ferrell Rd., Rosiclare, IL 62982 | 2005-07-28 |
| 1538165600 | Hardin County General Hospital | General Acute Care Hospital | 6 Ferrell Road, Rosiclare, IL 62982 | 2005-06-23 |
| Find all providers in zip 62982 | ||||
| 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 |
|---|---|---|---|---|
| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
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|---|---|---|---|---|
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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.