Midwest Health Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0052225 Issued in IL

Legal business name

MIDWEST HEALTH OPERATIONS, LLC

Doing business as

Cornerstone Rehabilitation & Health Care Center

Practice address

5533 N Galena Rd
Peoria Heights, IL 61616-4447

Phone

(309) 682-5428

NPI assigned

Feb 12, 2013

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

• Cornerstone Rehabilitation & Health Care Center Doing business as

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1841539749",
    "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": "5533 N GALENA RD",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616164447",
            "telephone_number": "309-682-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEALTH OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-06-20",
        "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": "IL",
            "license": "0052225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aline Malebranche, M.D.
• Virginia Mattern
• Maxim Healthcare Services, Inc.
• Sally Martha McKanna
• Elizabeth Amelia McWhirter, COTA/L
• Mark Montefolka, MD
• Ioan Mosoiu, MD
• Cristina Lynn Mugrage, MSW
• Mollie Elizabeth Murdock, COTA/L
• Ashley Murray, LPN

• 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 Jun 20, 2013; 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.