PETERSEN MANAGEMENT COMPANY, LLC (NPI# 1326004136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326004136 |
| Entity Type | Organization |
| Organization Name | PETERSEN MANAGEMENT COMPANY, LLC |
| Other Organization Name | FLORA REHABILITATION & HEALTH CARE CENTER |
| Practice Address |
232 Given Dr Flora IL 62839-1094 |
| Mailing Address |
830 W Trailcreek Dr Peoria IL 61614-1862 |
| Practice Telephone | 6186628381 |
| Practice Fax Number | 6186629340 |
| Mailing Telephone | 3096918113 |
| Mailing Fax Number | 3096918622 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2013-05-23 |
| Authorized Official Name | MARK B. PETERSEN (PRESIDENT) |
| Authorized Official Telephone | 3096918113 |
| Is Organization Subpart | Y |
| Parent Organization Name | PETERSEN HEALTH CARE II, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0046615 | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 74-3055934009 | 05 |
| Other Name | Type Code |
|---|---|
| Flora Rehabilitation & Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487610291 | Petersen Management Company, LLC | Skilled Nursing Facility | 1000 Palm Ave, Mattoon, IL 61938-6031 | 2006-04-21 |
| 1780767897 | Petersen Management Company, LLC | Nursing Facility/Intermediate Care Facility | 5 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2006-10-23 |
| 1932132115 | Petersen Management Company, LLC | Skilled Nursing Facility | 1700 White St, Mount Vernon, IL 62864-4349 | 2006-07-09 |
| Street Address |
232 GIVEN DR |
| City | FLORA |
| State | IL |
| Zip Code | 62839-1094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154895852 | Shaimaa Raheem | Speech-Language Pathologist | 232 Given Dr, Flora, IL 62839-1094 | 2019-01-15 |
| 1548795479 | Brittney Howell | Speech-Language Pathologist | 232 Given Dr, Flora, IL 62839-1094 | 2017-04-28 |
| 1881084705 | Abigail Lynn Anderson | Physical Therapist | 232 Given Dr, Flora, IL 62839-1094 | 2015-01-30 |
| 1932350170 | Petersen Health Care II, Inc | Skilled Nursing Facility | 232 Given Dr, Flora, IL 62839-1094 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887455 | Gayla Kay Dunaway | Occupational Therapist | 232 Givens Dr, Flora, IL 62839 | 2013-09-09 |
| 1952652349 | Health Care Management Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 408 E 4th St, Rosewood Estates, Flora, IL 62839 | 2012-09-25 |
| 1437445947 | Gaurav Nigam | Family Medicine | 911 Stacy Burk Drive, Flora, IL 62839 | 2011-06-22 |
| 1831413947 | Philip K.c. Chung | Obstetrics & Gynecology | 116 East 4th, Floria, IL 62839 | 2010-03-18 |
| 1669672465 | Heritage Woods LLC | Assisted Living Facility | 1003 West 4th Street, Flora, IL 62839 | 2007-07-19 |
| 1043365968 | Martin Dental Associates PC | Dentist | 501 North Main Street, Flora, IL 62839 | 2007-01-23 |
| 1518047356 | Linda L Robards | Registered Nurse | Clay Medical Center, 201 E N Avenue, Flora, IL 62839 | 2006-10-16 |
| 1144312000 | Valerie Jill Henderson | Registered Nurse | 201 E N Avenue, Clay Medical Center, Flora, IL 62839 | 2006-09-29 |
| 1164523221 | Kimberly Ann Greenwalt | Licensed Practical Nurse | 201 E N Ave, Clay Medical Center, Flora, IL 62839 | 2006-09-25 |
| 1558879676 | Melissa Kay Laslie | Registered Nurse | 911 Stacy Burk Drive, Flora, IL 62839 | 2018-01-11 |
| Find all providers in zip 62839 | ||||
| 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 |
|---|---|---|---|---|
| 1336100999 | Flora Pavilion Nursing Home Center, Inc | Skilled Nursing Facility | 701 Shadwell Ave, Flora, IL 62839-2310 | 2006-03-31 |
| 1962654145 | Petersen Companies, LLC | Skilled Nursing Facility | 701 Shadwell Ave, Flora, IL 62839-2310 | 2008-10-21 |
| 1932350170 | Petersen Health Care II, Inc | Skilled Nursing Facility | 232 Given Dr, Flora, IL 62839-1094 | 2008-10-07 |
| 1275622003 | Petersen Health Network, LLC | Skilled Nursing Facility | 701 Shadwell Ave, Flora, IL 62839-2310 | 2006-10-12 |
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| 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.