PETERSEN HEALTH OPERATIONS, LLC (NPI# 1083868095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083868095 |
| Entity Type | Organization |
| Organization Name | PETERSEN HEALTH OPERATIONS, LLC |
| Other Organization Name | VANDALIA REHAB & HEALTH CARE CENTER |
| Practice Address |
1500 W Saint Louis Ave Vandalia IL 62471-2535 |
| Mailing Address |
830 W Trailcreek Dr Peoria IL 61614-1862 |
| Practice Telephone | 6182834262 |
| Mailing Telephone | 3096918113 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| 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 | 314000000X | Skilled Nursing Facility | 0047589 | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 203224201024 | 05 |
| Other Name | Type Code |
|---|---|
| Vandalia Rehab & Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952555658 | Petersen Health Operations, LLC | Skilled Nursing Facility | Rt 1 Ferrel Rd, Rosiclaire, IL 62982 | 2008-11-07 |
| 1043464746 | Petersen Health Operations, LLC | Skilled Nursing Facility | 995 State Rt 127 S, Jonesboro, IL 62952 | 2008-11-07 |
| 1336393347 | Petersen Health Operations, LLC | Skilled Nursing Facility | 418 South Memorial Drive, Newman, IL 61942 | 2008-11-05 |
| 1356441539 | Petersen Health Operations, LLC | Skilled Nursing Facility | 900 N Market St, Watseka, IL 60970-1048 | 2006-09-25 |
| 1710922117 | Petersen Health Operations, LLC | Skilled Nursing Facility | 1083 Ozark Care Dr, Box 270, Osage Beach, MO 65065-3016 | 2006-06-19 |
| 1225071442 | Petersen Health Operations, LLC | Nursing Facility/Intermediate Care Facility | 107 N Watkins Street, Cisne, IL 62823 | 2006-06-14 |
| 1285672766 | Petersen Health Operations, LLC | Skilled Nursing Facility | 1400 E Washington St, Pittsfield, IL 62363-9586 | 2006-06-04 |
| 1235176504 | Petersen Health Operations, LLC | Skilled Nursing Facility | 901 Illini Dr, East Peoria, IL 61611-1840 | 2006-06-02 |
| 1497712228 | Petersen Health Operations, LLC | Skilled Nursing Facility | 1925 S Main St, Bloomington, IL 61704-7301 | 2006-04-26 |
| 1376509380 | Petersen Health Operations, LLC | Nursing Facility/Intermediate Care Facility | 520 Fabyan Parkway, Batavia, IL 60510 | 2006-04-26 |
| Street Address |
1500 W SAINT LOUIS AVE |
| City | VANDALIA |
| State | IL |
| Zip Code | 62471-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265532493 | Vandalia Hco, LLC | Skilled Nursing Facility | 1500 W Saint Louis Ave, Vandalia, IL 62471-2535 | 2006-09-25 |
| 1447883624 | Vandalia Hco, LLC | Skilled Nursing Facility | 1500 W Saint Louis Ave, Vandalia, IL 62471-2535 | 2020-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083924740 | Micah Brasel | Optometrist | 300 W Randolph, Vandalia, IL 62471 | 2010-10-15 |
| 1154635332 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 300 West Randolph, Vandalia, IL 62471 | 2010-07-30 |
| 1972771699 | Community Resource Center | Community Based Residential Treatment Facility, Mental Illness | 423 W Main, Vandalia, IL 62471 | 2008-02-15 |
| 1952429078 | Julie M Gordon | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-27 |
| 1033200183 | Penny Attaway | Nurse Practitioner | 1404 N 5th Street, Vandalia, IL 62471 | 2006-09-27 |
| 1588773089 | Pain Relief Center of Vandalia Inc | Chiropractor | 100 N Kennedy Blvd, Vandalia, IL 62471 | 2006-08-29 |
| 1811003551 | Fayco Enterprises Inc | Day Training, Developmentally Disabled Services | 1313 Sunset Drive, Vandalia, IL 62471 | 2006-08-23 |
| 1174585384 | Vandalia Physical Therapy Ltd | Physical Therapist | 126 S. 1st St., Vandalia, IL 62471 | 2006-04-04 |
| 1548221799 | Arkom Chulamorkodt | Family Medicine | 606 W Jackson St, Vandalia, IL 62471 | 2006-03-29 |
| 1568581163 | Ashley Hadowsky | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-28 |
| Find all providers in zip 62471 | ||||
| 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 |
|---|---|---|---|---|
| 1265532493 | Vandalia Hco, LLC | Skilled Nursing Facility | 1500 W Saint Louis Ave, Vandalia, IL 62471-2535 | 2006-09-25 |
| 1942284138 | Chs - Miami Valley, Inc | Skilled Nursing Facility | 208 N Cassel Rd, Vandalia, OH 45377-2926 | 2005-12-01 |
| 1962483214 | Tri County Nursing Home District | Skilled Nursing Facility | 601 N Galloway Rd, Vandalia, MO 63382-1252 | 2005-11-11 |
| 1447883624 | Vandalia Hco, LLC | Skilled Nursing Facility | 1500 W Saint Louis Ave, Vandalia, IL 62471-2535 | 2020-02-17 |
| 1376012484 | Fhs Crossroads, Inc. | Skilled Nursing Facility | 208 N Cassel Rd, Vandalia, OH 45377-2926 | 2018-11-19 |
| 1497868772 | Fayette County Hospital District | Skilled Nursing Facility | 650 W Taylor St, Vandalia, IL 62471 | 2006-08-17 |
| 1306959689 | Fayette County Hospital District | Skilled Nursing Facility | 650 W Taylor St, Vandalia, IL 62471-1227 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413537 | Citadel of Glenview LLC | Skilled Nursing Facility | 1700 E Lake Ave, Glenview, IL 60025-2003 | 2020-09-28 |
| 1598379075 | Patient Builders Marketing | Skilled Nursing Facility | 800 W Army Trail Rd, Carol Stream, IL 60188-9040 | 2020-09-02 |
| 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 | ||||
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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.