PETERSEN HEALTH OPERATIONS, LLC (NPI# 1285672766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285672766 |
| Entity Type | Organization |
| Organization Name | PETERSEN HEALTH OPERATIONS, LLC |
| Other Organization Name | EASTSIDE REHABILITATION & HEALTH CARE CENTER |
| Practice Address |
1400 E Washington St Pittsfield IL 62363-9586 |
| Mailing Address |
830 W Trailcreek Dr Peoria IL 61614-1862 |
| Practice Telephone | 2172857791 |
| Practice Fax Number | 2172854242 |
| Mailing Telephone | 3096918113 |
| Mailing Fax Number | 3096918622 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK B. 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 | 0047456 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Eastside Rehabilitation & 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 |
| 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 |
| 1841444601 | Petersen Health Operations, LLC | Skilled Nursing Facility | 400 W Grant St, Macomb, IL 61455-2867 | 2008-11-06 |
| Street Address |
1400 E WASHINGTON ST |
| City | PITTSFIELD |
| State | IL |
| Zip Code | 62363-9586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093969008 | Petersen Health Operations, LLC | Skilled Nursing Facility | 1400 E Washington St, Pittsfield, IL 62363-9586 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
| 1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
| 1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
| 1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
| 1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
| 1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
| 1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
| 1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
| Find all providers in zip 62363 | ||||
| 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 |
|---|---|---|---|---|
| 1942391461 | Berkshire Retirement Home, Inc. | Skilled Nursing Facility | 290 South St, Pittsfield, MA 01201-6824 | 2006-09-28 |
| 1902880040 | Quaside Inc | Skilled Nursing Facility | 255 Lebanon Avenue, Pittsfield, MA 01201-7828 | 2005-12-02 |
| 1992792147 | Unlimited Development Inc. | Skilled Nursing Facility | 610 Lowry Street, Pittsfield, IL 62363-1700 | 2005-10-03 |
| 1801213715 | Gahcr II Pittsfield Ma Snf Trs Sub, LLC | Skilled Nursing Facility | 255 Lebanon Ave, Pittsfield, MA 01201-7828 | 2014-03-28 |
| 1316280019 | Videll Healthcare Springside, L.L.C. | Skilled Nursing Facility | 255 Lebanon Ave, Pittsfield, MA 01201-7828 | 2013-04-01 |
| 1831497858 | Sheehan Purchase, LLC | Skilled Nursing Facility | 255 Lebanon Ave, Pittsfield, MA 01201-7828 | 2011-03-01 |
| 1295064947 | Pittsfield Management Systems Inc. | Skilled Nursing Facility | 1000 North St, Pittsfield, MA 01201-1520 | 2009-12-09 |
| 1093969008 | Petersen Health Operations, LLC | Skilled Nursing Facility | 1400 E Washington St, Pittsfield, IL 62363-9586 | 2008-11-05 |
| 1417170408 | Mt Greylock Nursing LLC | Skilled Nursing Facility | 1000 North St, Pittsfield, MA 01201-1520 | 2007-04-10 |
| 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 | ||||
| City | PITTSFIELD |
| Zip Code | 62363 |
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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.