Rose Garden Care Center Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0041780 Issued in IL

Legal business name

ROSE GARDEN CARE CENTER INC.

Practice address

1629 E Gardner LN
Peoria Heights, IL 61616-3613

Phone

(309) 685-1545

NPI assigned

Feb 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennie Shan-Martin

Title

Controller

Phone

(847) 905-4026

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1083759476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021519",
            "telephone_number": "847-905-4026",
            "fax_number": "847-905-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 E GARDNER LN",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616163613",
            "telephone_number": "309-685-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE GARDEN CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "SHAN-MARTIN",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "847-905-4026"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0041780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jo Paulsen, MS CCC-SLP
• Peoria Heights Cu SCH Dist 325
• Peoria Heights Nursing and Rehab LLC
• Peoria Heights Nursing and Rehab LLC
• PHBV, LLC
• Hannah S. Schultz, OTD, OTR/L
• Lisa M Schwab, LCPC
• Sharshon Pharmacy. Inc.
• Jennifer A Siefert, RPH
• Jamie Lynn Smith, D.D.S., M.S.

• Skilled Nursing Facility in Peoria Heights, IL
• Providers in Peoria Heights, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.