Petersen Health Operations, Llc, NPI 1376509380
Nursing Facility/Intermediate Care Facility in Batavia, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1376509380
NPI Entity Type Organization
Provider Name Petersen Health Operations, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 520 Fabyan Parkway, Batavia, IL, US
Provider Mailing Address 830 W Trailcreek Dr, Peoria, IL, US, 616141862
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Mark B. Petersen
Official Position MANAGER
Phone 309-691-8113

Primary Taxonomy

Taxonomy Code

313M00000X

Taxonomy Name Nursing Facility/Intermediate Care Facility
Classification

Nursing Facility/Intermediate Care Facility

Group

Nursing & Custodial Care Facilities

License No. 0047299
License State IL
Description An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Other Organization Name

Batavia Rehabilitation & Health Care Center
Doing Business As

Business Address

Petersen Health Operations, Llc
520 Fabyan Parkway

Batavia, IL, US

Phone: 630-879-5266
Fax: 630-482-2786

Mailing Address

Petersen Health Operations, Llc
830 W Trailcreek Dr
Peoria, IL, US
ZIP 616141862
Phone: 309-691-8113
Fax: 309-691-8622

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Julieanne Pojas, Psy.d. & Associates Pllc

Organization

Clinical Psychologist

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