Petersen Health Operations, Llc in Osage Beach - Skilled Nursing Facility

Petersen Health Operations, Llc - NPI 1710922117

Petersen Health Operations, Llc is a Skilled Nursing Facility in Osage Beach, Missouri. Petersen Health Operations, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Petersen Health Operations, Llc is 1710922117. The last update date is 2022-04-13.

Petersen Health Operations, Llc's current location address is 1083 Ozark Care Dr, Osage Beach, Missouri. You can contact this provider via phone number 5733481711 and fax number 5733481713. The mailing address for Petersen Health Operations, Llc is 1083 Ozark Care Dr, Osage Beach, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Petersen Health Operations, Llc
Address 1083 Ozark Care Dr, Osage Beach, Missouri
Phone Number 5733481711
Fax Number 5733481713
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Petersen B Mark
Telephone Number 3096918113

NPI Number Detail

NPI Number 1710922117
Provider Enumeration Date 2006-06-19
Last Updated Date 2022-04-13

Provider Mailing Address Detail

Address 1083 Ozark Care Dr
City Osage Beach
State Missouri (MO)
Post Code 650653016
Phone Number 5733481711
Fax Number 5733481713

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 32155
Definition:
(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 serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
101773406 MO --

Post Comment/ Review Below

FAQs about Petersen Health Operations, Llc

What is the unique 10-digit identification code issued to Petersen Health Operations, Llc by the Centers for Medicare & Medicaid Services?

The Petersen Health Operations, Llc has been assigned the NPI (National Provider Identifier) 1710922117 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Petersen Health Operations, Llc is physically located?

The Petersen Health Operations, Llc is physically situated at the following address: 1083 Ozark Care Dr, Osage Beach, MO, 650653016.

What is the Petersen Health Operations, Llc's specialty and taxonomy code?

The Petersen Health Operations, Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710922117 to Petersen Health Operations, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1710922117 to Petersen Health Operations, Llc on 2006-06-19.

As of what date were the details pertaining to Petersen Health Operations, Llc last refreshed?

The information related to the Petersen Health Operations, Llc, including its address, specialty, and other relevant details, was last updated on 2022-04-13.

Other Providers of Skilled Nursing Facility
William C Pilcher

NPI Number: 1588667638

Address: 1824 King Street, Jacksonville, FL

Ravi K Adusumilli

NPI Number: 1932102084

Address: 2940 N Mccord Rd, Toledo, OH

Steven M Goldberg

NPI Number: 1205839255

Address: 1010 Northern Blvd, Great Neck, NY

Richard Soucier

NPI Number: 1255334207

Address: 1000 Asylum Ave, Hartford, CT

Philip J O'donnell

NPI Number: 1871596924

Address: 104 Selma Dr, Winchester, VA

Leslie B Cooperman

NPI Number: 1699778746

Address: 1010 Northern Blvd, Great Neck, NY

William Floyd Fleet

NPI Number: 1952304990

Address: 300 20th Ave N, Nashville, TN

Fadi Michel Shamsham

NPI Number: 1942203971

Address: 4115 S. Water Tower Place, Mt. Vernon, IL

Brian T Eller

NPI Number: 1457354482

Address: 3165 Dunes Valley Path, Stevensville, MI

Stacy Faith Davis

NPI Number: 1942203963

Address: 501 Great Circle Rd, Nashville, TN

Michelle D. Bachtel

NPI Number: 1205839222

Address: Po Box 11396, Belfast, ME

Navid Kazemi

NPI Number: 1346243367

Address: 3150 N Tenaya Way, Las Vegas, NV

Richard H Pollak

NPI Number: 1518960533

Address: 2900 Corporate Way, Miramar, FL

Todd Gregory Tolbert

NPI Number: 1427051432

Address: 300 20th Ave N Ste 403, Nashville, TN

Charles J Hardebeck

NPI Number: 1508869736

Address: 700 Ackerman Rd, Columbus, OH