JONESBORO REHABILITATION & HEALTH CARE CENTERR – NPI #1043464746
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

JONESBORO REHABILITATION & HEALTH CARE CENTERR is a skilled nursing facility (SNF) located in JONESBORO, IL. NPPES has assigned the NPI number 1043464746 to JONESBORO REHABILITATION & HEALTH CARE CENTERR on November 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JONESBORO REHABILITATION & HEALTH CARE CENTERR” is a dba name, the actual legal business name for this organization is PETERSEN HEALTH OPERATIONS, LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 4 years ago on Jan 19, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JONESBORO REHABILITATION & HEALTH CARE CENTERR below.

NPI Profile for
PETERSEN HEALTH OPERATIONS, LLC

NPI Number
1043464746
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PETERSEN HEALTH OPERATIONS, LLC
Doing Business As (dba): JONESBORO REHABILITATION & HEALTH CARE CENTERR
Primary location
995 STATE RT 127 S
JONESBORO, IL 62952
Phone: (618) 833-4825 Fax:
Mailing address
830 W TRAILCREEK DR
PEORIA, IL 61614-1862
Phone: (309) 691-8113 Fax:
Organization Subpart
No
Authorized Official
MARK PETERSEN
MANAGER
Phone: (309) 691-8113
Updated
Certification Date
Jan 19, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
IL 0047480

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.