SJL Health Systems Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0045245 Issued in IL

Legal business name

SJL HEALTH SYSTEMS INC

Practice address

900 S Chestnut St
Pana, IL 62557-9730

Phone

(217) 562-3996

Fax

(217) 562-4005

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Mark B. Petersen

Title

President

Phone

(309) 691-8113

Specialties & licenses 1

Addresses

Other names 1

• Prairie Rose Health Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• HSHS Medical Group Inc

  • Internal Medicine Physician
  • Springfield, IL
  • NPI 1912330317

  O20100116000275

  Same enrollment
• HSHS Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Springfield, IL
  • NPI 1962644807

  O20100116000275

  Same enrollment

Locations

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet L Alvarado, M.D.

  • Internal Medicine Physician
  • Highland, IL
  • NPI 1336114818
  NPD
• Bashar Alzahabi, MD

  • Nephrology Physician
  • Effingham, IL
  • NPI 1467448456
  NPD
• Thomas A Ambrose II, MD

  • Orthopaedic Surgery Physician
  • Effingham, IL
  • NPI 1679524805
  NPD
• Clare R Arentsen, FNP-BC

  • Nurse Practitioner
  • Breese, IL
  • NPI 1225645690
  NPD
• Emily A Artime, PA

  • Physician Assistant
  • Decatur, IL
  • NPI 1255560629
  NPD
• Christine Lyn Atchison, APN, FNP-C

  • Family Nurse Practitioner
  • Bloomington, IL
  • NPI 1760881395
  NPD
• Lawrence J. Barnes, PA-C

  • Medical Physician Assistant
  • O Fallon, IL
  • NPI 1184685174
  NPD
• Jeremy S Bowen, P.A.

  • Physician Assistant
  • Highland, IL
  • NPI 1972615920
  NPD
• Ruben D Boyajian, MD

  • Surgery Physician
  • Effingham, IL
  • NPI 1912917188
  NPD
• Edmund Bruning

  • Physician Assistant
  • Mascoutah, IL
  • NPI 1801679469
  NPD
• Amy Marie Buck, APN

  • Family Nurse Practitioner
  • O Fallon, IL
  • NPI 1053587402
  NPD
• Mackenzie Buzzard, FNP

  • Family Nurse Practitioner
  • Altamont, IL
  • NPI 1689359267
  NPD

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1215037353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W TRAILCREEK DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141862",
            "telephone_number": "309-691-8113",
            "fax_number": "309-691-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S CHESTNUT ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625579730",
            "telephone_number": "217-562-3996",
            "fax_number": "217-562-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJL HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-691-8113"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0045245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Rose Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• RX Stores LLC
• Kaitlyn Rzasa, MS, RDN, LDN
• Marc Scholes, NP
• Nancy L. Simpson, PTA
• Tiffany Sims
• Jodi R Smith, PTA
• Dale A Stockton, DMD
• Ronald Paul Swenny Jr., D.C.
• Swenny'S Family Chiropractic
• Catherine Diasanta Teodoro, M.D.

• All providers in Pana, IL
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.