Midwest Health Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MIDWEST HEALTH OPERATIONS LLC

Doing business as

Sauk Valley Senior Living & Rehabilitation

Practice address

1000 Dixon Rd
Rock Falls, IL 61071-1802

Phone

(815) 625-8510

NPI assigned

Nov 15, 2014

Last updated

Nov 15, 2014By 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

Mark Petersen

Title

Manager

Phone

(309) 691-8113

Specialties & licenses 1

Addresses

Other names 1

• Sauk Valley Senior Living & Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1416009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416009600000",
    "number": "1780080986",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DIXON RD",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610711802",
            "telephone_number": "815-625-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEALTH OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-15",
        "last_updated": "2014-11-15",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "309-691-8113"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sauk Valley Senior Living & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Daniel Macak, PHARMD
• Carrie Eileen Mahar, LCSW
• Amin Malaki, DDS
• Amy Christine Mandrell, RPH
• Sarah Mathew, MD
• Cali J Miles, M.S. CCC-SLP
• Whitney Lynn Miller, LCSW
• Mindfulness Institute of NW Illinois
• Douglas Eugene Mitchem
• Payton Moe, PA-C

• Skilled Nursing Facility in Rock Falls, IL
• Providers in Rock Falls, 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 Nov 15, 2014; 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.