PETERSEN HEALTH SYSTEMS, INC. (NPI# 1982001970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982001970 |
| Entity Type | Organization |
| Organization Name | PETERSEN HEALTH SYSTEMS, INC. |
| Other Organization Name | COURTYARD ESTATES OF GALVA |
| Practice Address |
1000 Courtyard Est Galva IL 61434-4501 |
| Mailing Address |
830 W Trailcreek Dr Peoria IL 61614-1862 |
| Practice Telephone | 3099322600 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| 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 | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Courtyard Estates of Galva | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700169877 | Petersen Health Systems, Inc. | Assisted Living Facility | 117 N Western Ave, Peoria, IL 61604-5629 | 2011-09-24 |
| 1215061346 | Petersen Health Systems, Inc. | Assisted Living Facility | 141 Junior Ave, Kewanee, IL 61443-2507 | 2007-03-14 |
| 1841460029 | Petersen Health Systems, Inc. | Assisted Living Facility | 1200 W Broadway, Monmouth, IL 61462-1679 | 2008-03-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PETERSEN HEALTH SYSTEMS, INC. | 830 West Trailcreek Dr, Peoria, IL 61614 |
| Street Address |
1000 COURTYARD EST |
| City | GALVA |
| State | IL |
| Zip Code | 61434-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518024710 | Christina Renee Vinovich | Counselor | 230 S Exchange St Ste B, Galva, IL 61434 | 2007-01-03 |
| 1215035480 | William David Pool | Optometrist | 216 Nw 1st Street, Galva, IL 61434 | 2006-09-20 |
| 1669570933 | Tri County Eye Care PC | Optometrist | 216 Nw 1st Street, Galva, IL 61434 | 2006-09-20 |
| 1316149875 | Galva Community Unit 224 | Local Education Agency (LEA) | 224 Morgan Rd, Galva, IL 61434-1090 | 2007-06-05 |
| 1679128177 | Nicholas Joseph Podpeskar | Optometrist | 216 Nw 1st St, Galva, IL 61434-1302 | 2019-08-02 |
| 1346299849 | Tami Harker | Nurse Practitioner | 33 Front St, Galva, IL 61434-1363 | 2006-05-10 |
| 1174508980 | Sleepers Anesthesia Service, PC | Nurse Anesthetist, Certified Registered | 336 Front St, Galva, IL 61434-1365 | 2005-12-14 |
| 1578805743 | Regional Health Partners LLC | Nurse Practitioner | 336 Front St, Galva, IL 61434-1365 | 2013-03-26 |
| 1023100153 | Regional Family Health Center | Family Medicine | 336 Front St, Galva, IL 61434-1365 | 2006-09-28 |
| 1073618534 | Regional Family Health Center | Family Medicine | 336 Front St, Galva, IL 61434-1365 | 2006-09-13 |
| Find all providers in zip 61434 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190504 | The Manor At Jerseyville Glen, Lp | Assisted Living Facility | 904b Estates Dr, Jerseyville, IL 62052-2377 | 2020-10-06 |
| 1861008872 | Franciscan Communities, Inc. | Assisted Living Facility | 15624 Marian Dr, Homer Glen, IL 60491-6271 | 2020-09-16 |
| 1447865118 | Oakley Courts Assisted Living Community | Assisted Living Facility | 3117 W Kunkle Blvd, Freeport, IL 61032-6943 | 2020-09-10 |
| 1083233076 | Marley Oaks Assisted Living Residence | Assisted Living Facility | 12631 187th St, Mokena, IL 60448-8731 | 2020-04-10 |
| 1447884630 | Cedarhurst of Quincy Operator, LLC | Assisted Living Facility | 319 S 48th St, Quincy, IL 62305-0593 | 2020-02-26 |
| 1164055323 | Cye Sullivan Hco, LLC | Assisted Living Facility | 20 Courtyard Blvd, Sullivan, IL 61951-7001 | 2020-02-17 |
| 1255964573 | Cottages At Salem, Inc. | Assisted Living Facility | 339 S Hotze Rd, Salem, IL 62881-6858 | 2020-02-14 |
| 1841821014 | Generations At Oakton Arms, LLC | Assisted Living Facility | 1665 Oakton Pl, Des Plaines, IL 60018-6301 | 2020-01-28 |
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1275184889 | The Encore At The Twin Cities | Assisted Living Facility | 101 N Wacker Dr Ste 608, Chicago, IL 60606-1726 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
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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.