Petersen Health Network, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PETERSEN HEALTH NETWORK, LLC

Doing business as

Rochelle Rehabilitation & Health Care Center

Practice address

900 N 3Rd St
Rochelle, IL 61068-1666

Phone

(815) 562-4111

Fax

(815) 564-1722

NPI assigned

Mar 21, 2007

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

President

Phone

(309) 691-8113

Specialties & licenses 1

Addresses

Other names 1

• Rochelle Rehabilitation & Health Care Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Petersen Health Network, LLC

  dba Nokomis Rehabilitation & Health Care Center

  • Skilled Nursing Facility
  • Nokomis, IL
  • NPI 1952399255

  Member Of

  NPD member

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1851417067",
    "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 N 3RD ST",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681666",
            "telephone_number": "815-562-4111",
            "fax_number": "815-564-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSEN HEALTH NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "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": "Rochelle Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Perez-Garcia, MD
• Lisa K Perino, PSY D
• Sharda Bramhawatie Persaud, PHARMD
• Petersen Companies, LLC (Rochelle Rehabiliation & Health Care Center)
• Petersen Health Network, LLC (Rochelle Gardens Care Center)
• Physician Care at Home Management Company LLC
• Chad Monroe Piller, DC
• Jason C Popp, MD
• Sushmita Nallamothu Prathipati, M.D.
• Jane Anderson Prunty, LCSW

• Skilled Nursing Facility in Rochelle, IL
• Providers in Rochelle, 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 Dec 8, 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.