PRAIRIE CITY HCO, LLC (NPI# 1952934127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952934127 |
| Entity Type | Organization |
| Organization Name | PRAIRIE CITY HCO, LLC |
| Practice Address |
825 E Main St Prairie City IL 61470-5007 |
| Mailing Address |
830 W Trailcreek Dr Peoria IL 61614-1862 |
| Practice Telephone | 3097753313 |
| Mailing Telephone | 3096895880 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| 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 | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932215548 | Prairie City Hco, LLC | Skilled Nursing Facility | 825 E Main St, Prairie City, IL 61470-9411 | 2006-08-23 |
| Street Address |
825 E MAIN ST |
| City | PRAIRIE CITY |
| State | IL |
| Zip Code | 61470-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932215548 | Prairie City Hco, LLC | Skilled Nursing Facility | 825 E Main St, Prairie City, IL 61470-9411 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669606307 | Linda Kay Worthington | Speech-Language Pathologist | 22070 E 1900th St, Prairie City, IL 61470-8424 | 2009-05-10 |
| 1578869749 | Edward Allen Mcewen | Physical Therapist | 23995 N 2200th Rd, Prairie City, IL 61470-8483 | 2011-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924449 | Pella Regional Health Center | Clinic/Center | 404 S Commerce, Prairie City, IA 50228-8560 | 2020-08-26 |
| 1245613108 | Marvin Fangman | Counselor | 501 North Sherman, Prairie City, IA 50228 | 2015-07-09 |
| 1821497538 | Dana Marie Jacobs | Nurse Practitioner | 102 W. Mcmurray Street, Prairie City, IA 50228 | 2014-08-19 |
| 1578869749 | Edward Allen Mcewen | Physical Therapist | 23995 N 2200th Rd, Prairie City, IL 61470-8483 | 2011-02-04 |
| 1669606307 | Linda Kay Worthington | Speech-Language Pathologist | 22070 E 1900th St, Prairie City, IL 61470-8424 | 2009-05-10 |
| 1417177726 | Norman Dejong | Dentist | 132 Front Street, Prairie City, OR 97869 | 2007-04-27 |
| 1780713883 | Mark Andrew Murray | Pharmacist | 124 Front Str, Prairie City, OR 97869-0217 | 2007-03-05 |
| 1952430068 | Prairie Drug and Hardware, Inc | Pharmacist | 124 Front Str., Prairie City, OR 97869-0217 | 2007-03-05 |
| 1861521312 | Blue Mountain Hospital District | Nursing Facility/Intermediate Care Facility | 112 E 5th St, Prairie City, OR 97869 | 2007-03-02 |
| 1497802979 | Pcm Community School District | Local Education Agency (LEA) | 107 East St., Prairie City, IA 50228-0490 | 2007-01-05 |
| Find all providers in PRAIRIE CITY | ||||
| 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 |
|---|---|---|---|---|
| 1932215548 | Prairie City Hco, LLC | Skilled Nursing Facility | 825 E Main St, Prairie City, IL 61470-9411 | 2006-08-23 |
| 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 | PRAIRIE CITY |
| Zip Code | 61470 |
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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.