POLO HCO LLC (NPI# 1912546847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912546847 |
| Entity Type | Organization |
| Organization Name | POLO HCO LLC |
| Practice Address |
703 E Buffalo St Polo IL 61064-1701 |
| Mailing Address |
830 W Trailcreek Dr Peoria IL 61614-1862 |
| Practice Telephone | 8159462203 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | MARIKAY SNYDER (GENERAL COUNSEL) |
| Authorized Official Telephone | 3096895880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Polo Rehabilitation & Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770761082 | Polo Hco LLC | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2008-02-08 |
| Street Address |
703 E BUFFALO ST |
| City | POLO |
| State | IL |
| Zip Code | 61064-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295732360 | Mid Americacare Foundation | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2005-07-05 |
| 1275184624 | Karen Sue Williams | Physical Therapy Assistant | 703 E Buffalo St, Polo, IL 61064-1701 | 2019-09-26 |
| 1164083630 | Karina Nehrkorn | Speech-Language Pathologist | 703 E Buffalo St, Polo, IL 61064-1701 | 2019-06-25 |
| 1972093292 | Mubaraka Bootwala | Occupational Therapist | 703 E Buffalo St, Polo, IL 61064-1701 | 2018-05-11 |
| 1770761082 | Polo Hco LLC | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225088172 | Henry Oh | Family Medicine | 711 Division St., Polo, IL 61064 | 2006-05-11 |
| 1669443966 | Debra C Drengenberg | Family Medicine | 1107 S. Division Ave., Ksb Center for Health Services/polo, Polo, IL 61064 | 2006-01-27 |
| 1689024853 | Jeanette M Trotter | Counselor | 115 W Mason St Ste 201, Polo, IL 61064-1501 | 2016-06-17 |
| 1174096028 | Polo Pharmacy, Inc. | Pharmacy | 111 E Mason St, Polo, IL 61064-1521 | 2019-01-03 |
| 1023154630 | Felker Pharmacy Inc | Pharmacy | 110 E Mason St, Polo, IL 61064-1522 | 2007-01-30 |
| 1144305368 | Polo Chiropractic Center P C | Chiropractor | 109 S Franklin Ave, Polo, IL 61064-1713 | 2006-10-26 |
| 1952474207 | Robert Keith Webb | Chiropractor | 109 S Franklin Ave, Polo, IL 61064-1713 | 2006-11-16 |
| 1033282371 | Karla J Byrd | Chiropractor | 109 S Franklin Ave, Polo, IL 61064-1713 | 2006-11-16 |
| 1720227069 | Polo Community Ambulance Service | Ambulance | 206 S Franklin Ave, Polo, IL 61064-1716 | 2009-02-10 |
| 1881147940 | Polo Fire Protection District | Ambulance | 206 S Franklin Ave, Polo, IL 61064-1716 | 2016-07-25 |
| Find all providers in zip 61064 | ||||
| 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 |
|---|---|---|---|---|
| 1295732360 | Mid Americacare Foundation | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2005-07-05 |
| 1770761082 | Polo Hco LLC | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2008-02-08 |
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| 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.