PETERSEN HEALTH NETWORK, LLC (NPI# 1659405850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659405850 |
| Entity Type | Organization |
| Organization Name | PETERSEN HEALTH NETWORK, LLC |
| Other Organization Name | WHISPERING OAKS |
| Practice Address |
201 Spring Street Rosiclare IL 62982 |
| Mailing Address |
830 W Trailcreek Dr Peoria IL 61614-1862 |
| Practice Telephone | 6182856974 |
| Mailing Telephone | 3096918113 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2017-01-14 |
| Authorized Official Name | MARK B. PETERSEN (PRESIDENT) |
| Authorized Official Telephone | 3096918113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Whispering Oaks | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952399255 | Petersen Health Network, LLC | Skilled Nursing Facility | 505 Stevens St, Nokomis, IL 62075-1442 | 2005-10-11 |
| 1649396524 | Petersen Health Network, LLC | Skilled Nursing Facility | 1021 N Caron Rd, Rochelle, IL 61068-9647 | 2007-03-22 |
| 1851417067 | Petersen Health Network, LLC | Skilled Nursing Facility | 900 N 3rd St, Rochelle, IL 61068-1666 | 2007-03-21 |
| 1275622003 | Petersen Health Network, LLC | Skilled Nursing Facility | 701 Shadwell Ave, Flora, IL 62839-2310 | 2006-10-12 |
| 1558461863 | Petersen Health Network, LLC | Skilled Nursing Facility | 410 Fletcher St, Jerseyville, IL 62052-2127 | 2006-09-25 |
| Street Address |
201 SPRING STREET |
| City | ROSICLARE |
| State | IL |
| Zip Code | 62982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588018188 | Cheryl Hicks | Nurse Practitioner | 6 Ferrell Rd, Rosiclare, IL 62982 | 2016-04-20 |
| 1982992426 | Megan Leahy | Speech-Language Pathologist | 55 Ferrell Road, Rosiclare, IL 62982 | 2011-07-19 |
| 1952555658 | Petersen Health Operations, LLC | Skilled Nursing Facility | Rt 1 Ferrel Rd, Rosiclaire, IL 62982 | 2008-11-07 |
| 1447441308 | Southern Illinois Oxygen, Inc | Durable Medical Equipment & Medical Supplies | Rr 146, Rosiclare, IL 62982 | 2007-08-06 |
| 1770705824 | Kandy Kaye Willis | Pharmacist | #6 Ferrell Road, Rosiclare, IL 62982 | 2007-05-02 |
| 1700986114 | Della Darlene Pugh | Durable Medical Equipment & Medical Supplies | Junction 34 & Rte 146, Rosiclare, IL 62982 | 2006-09-25 |
| 1609892793 | Rosiclare Hco, LLC | Skilled Nursing Facility | Route1, Box 55a, Rosiclare, IL 62982 | 2006-07-14 |
| 1255331625 | Marcos N Sunga Jr. | Internal Medicine | 1 Ferrell Rd, Rosiclare, IL 62982 | 2005-07-28 |
| 1376543702 | Eladio M Chatto | Internal Medicine | 6 Ferrell Rd., Rosiclare, IL 62982 | 2005-07-28 |
| 1538165600 | Hardin County General Hospital | General Acute Care Hospital | 6 Ferrell Road, Rosiclare, IL 62982 | 2005-06-23 |
| Find all providers in zip 62982 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871039669 | Mount St Joseph | Intermediate Care Facility, Mentally Retarded | 24955 N Us Highway 12, Lake Zurich, IL 60047-8919 | 2017-01-17 |
| 1447792221 | Shore Community Services, Inc. | Intermediate Care Facility, Mentally Retarded | 8350 Laramie Ave, Skokie, IL 60077-2461 | 2016-11-10 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1265898266 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 102 S Douglas St, Mc Leansboro, IL 62859-1637 | 2016-01-06 |
| 1164888160 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 1406 W Delaware St, Fairfield, IL 62837-2336 | 2016-01-06 |
| 1376909374 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 416 Chula Vista Dr, Belleville, IL 62221-3160 | 2016-01-06 |
| 1437515434 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 206 N Washington St, Mc Leansboro, IL 62859-1049 | 2016-01-06 |
| 1790141885 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 212 Turning Leaf Cir, Belleville, IL 62221-6747 | 2016-01-06 |
| 1790141794 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 867 County Road 2150 E, Fairfield, IL 62837-2824 | 2016-01-06 |
| 1255797254 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 | 2016-01-06 |
| 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.