ROSE GARDEN CARE CENTER INC. (NPI# 1083759476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083759476 |
| Entity Type | Organization |
| Organization Name | ROSE GARDEN CARE CENTER INC. |
| Practice Address |
1629 E Gardner Ln Peoria Heights IL 61616-3613 |
| Mailing Address |
2201 Main St Evanston IL 60202-1519 |
| Practice Telephone | 3096851545 |
| Mailing Telephone | 8479054026 |
| Mailing Fax Number | 8479054040 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-05-03 |
| Authorized Official Name | JENNIE SHAN-MARTIN (CONTROLLER) |
| Authorized Official Telephone | 8479054026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0041780 | IL | Nursing & Custodial Care Facilities |
| Street Address |
1629 E GARDNER LN |
| City | PEORIA HEIGHTS |
| State | IL |
| Zip Code | 61616-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317594 | Aperion Care Peoria Heights LLC | Durable Medical Equipment & Medical Supplies | 1629 E Gardner Ln, Peoria Heights, IL 61616-3613 | 2019-10-11 |
| 1811407166 | Aperion Care Peoria Heights LLC | Durable Medical Equipment & Medical Supplies | 1629 E Gardner Ln, Peoria Heights, IL 61616-3613 | 2017-10-01 |
| 1508100249 | Heights Healthcare and Rehabilitation Centrellc | Skilled Nursing Facility | 1629 E Gardner Ln, Peoria Heights, IL 61616-3613 | 2012-11-19 |
| 1043483118 | Phbv, LLC | Skilled Nursing Facility | 1629 E Gardner Ln, Peoria Heights, IL 61616-3613 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558748350 | Jennifer Lynn Kroll | Pediatrics | 1317 E Kelly Ave, Peoria Heights, IL 61616 | 2015-04-30 |
| 1649583485 | Aline Azar | Internal Medicine | 1120 E War Memorial Drive, Peoria Heights, IL 61616 | 2010-07-22 |
| 1417137217 | Reza Vakili | Dentist | 4450 N. Prospect Rd, Suite S5, Peoria Heights, IL 61616 | 2007-11-08 |
| 1588700348 | Sandra Kay Chatwood | Counselor | 3709 N Atlantic Ave, Peoria Heights, IL 61616 | 2007-01-29 |
| 1578619524 | Donald B Braunagel | Dentist | 924b F Glen Ave, Peoria Heights, IL 61616 | 2007-01-25 |
| 1417009481 | Jeffrey Scott Whitson | Dentist | 924 E Glen Ave, #b, Peoria Heights, IL 61616 | 2007-01-18 |
| 1003986019 | Sharshon Pharmacy. Inc. | Pharmacy | 4600 N. Prospect Rd., Suite 2, Peoria Heights, IL 61616 | 2006-11-08 |
| 1659790350 | Kevin Spangler | Nurse Practitioner | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2014-04-09 |
| 1114026754 | Mark Montefolka | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2006-09-21 |
| 1467683334 | Unlimited Advacare Systems, Inc | Durable Medical Equipment & Medical Supplies | 819 E London Ave, Peoria, IL 61616-1360 | 2009-07-27 |
| Find all providers in zip 61616 | ||||
| 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 |
|---|---|---|---|---|
| 1659362499 | Osf Healthcare System | Skilled Nursing Facility | 5533 N Galena Rd, Peoria Heights, IL 61616-4447 | 2005-11-01 |
| 1841539749 | Midwest Health Operations, LLC | Skilled Nursing Facility | 5533 N Galena Rd, Peoria Heights, IL 61616-4447 | 2013-02-12 |
| 1508100249 | Heights Healthcare and Rehabilitation Centrellc | Skilled Nursing Facility | 1629 E Gardner Ln, Peoria Heights, IL 61616-3613 | 2012-11-19 |
| 1043483118 | Phbv, LLC | Skilled Nursing Facility | 1629 E Gardner Ln, Peoria Heights, IL 61616-3613 | 2008-04-09 |
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| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
| 1487273330 | Residential Alternatives of Illinois, Inc | Skilled Nursing Facility | 2203 Flagg Rd, Rochelle, IL 61068 | 2020-04-10 |
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
| 1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| Find all providers with the same taxonomy | ||||
| City | PEORIA HEIGHTS |
| Zip Code | 61616 |
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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.