Petersen Health Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032155 Issued in MO

Legal business name

PETERSEN HEALTH OPERATIONS, LLC

Doing business as

Ozark Rehabilitation & Health Care

Practice address

1083 Ozark Care Dr
Box 270
Osage Beach, MO 65065-3016

Phone

(573) 348-1711

Fax

(573) 348-1713

NPI assigned

Jun 19, 2006

Last updated

Apr 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark B Petersen

Title

President

Phone

(309) 691-8113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ozark Rehabilitation & Health Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710922117. Details of each certification follow.

• CCN 265178 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265178

Legal name

PETERSEN HEALTH OPERATIONS LLC

Doing business as

OZARK REHABILITATION & HEALTH CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 27, 1982

Last certification

May 15, 2025

Beds

60

Ownership / control type

Limited Liability Corporation

Multi-facility organization

PETERSEN HEALTH CARE

Most recent change of ownership

Sep 15, 2014

Organization structure

LLCProprietary

Incorporated

Sep 26, 2005 in IL

Enrollment address

1083 Ozark Care Dr
Osage Beach, MO 65065-3016

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Petersen Health Operations, LLC

  dba Cisne Rehabilitation & Health Center

  • Nursing Facility/Intermediate Care Facility
  • Cisne, IL
  • NPI 1225071442

  8921020470

  Same PAC ID
• Petersen Health Operations, LLC

  dba Fondulac Rehabilitation & Health Care Center

  • Skilled Nursing Facility
  • East Peoria, IL
  • NPI 1235176504

  8921020470

  Same PAC ID
• Petersen Health Operations, LLC

  dba Eastside Rehabilitation & Health Care Center

  • Skilled Nursing Facility
  • Pittsfield, IL
  • NPI 1285672766

  8921020470

  Same PAC ID
• Petersen Health Operations, LLC

  dba Benton Rehabilitation & Health Care Center

  • Nursing Facility/Intermediate Care Facility
  • Benton, IL
  • NPI 1316047681

  8921020470

  Same PAC ID
• Petersen Health Operations, LLC

  dba Timbercreek Rehabilitation & Health Care

  • Skilled Nursing Facility
  • Pekin, IL
  • NPI 1346340569

  8921020470

  Same PAC ID

Listed as

Ozark Rehabilitation & Health Care CenterCCN 265178 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 27, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6042.3 residents per day on average

Penalties (3 years)

2Fines totaling $23,224

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric A. Barnes, D.O.

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1619952520
  NPD (past)
• Christine Ann Livek, M.D.

  • Family Medicine Physician
  • Eldon, MO
  • NPI 1194758011
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1710922117",
    "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": "1083 OZARK CARE DR",
            "address_2": "BOX 270",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653016",
            "telephone_number": "573-348-1711",
            "fax_number": "573-348-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSEN HEALTH OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101773406",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Rehabilitation & Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Paul, DO
• Kiarra Kay Pearcy, MSN, FNP
• Leanne Nikole Pearson, PTA
• Chelsea Megan Pendleton, APRN
• Katharine Elise Percell, OT LIMITED
• Justin Robert Peterson, PHARMD, RPH
• Howard A Peth Jr., M.D.
• Robert Ara Petrossian, MD
• Victor M. Phillips, M.D.
• Pike Chiropractic

• Skilled Nursing Facility in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.