FLORA GARDENS CARE CENTER
NPI 1275622003
Skilled Nursing Facility in Flora, IL

Active since October 12, 2006CLIA 14D0436140 · Waiver
701 SHADWELL AVE, FLORA, IL 62839(618) 662-8361(618) 662-2811 Get Directions Write a Review

NPPES record last updated: March 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Flora Gardens Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORA GARDENS CARE CENTER (NPI 1275622003) is a healthcare organization registered as a skilled nursing facility in Flora, Illinois and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mark B Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1275622003
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePETERSEN HEALTH NETWORK, LLC
Location Address701 SHADWELL AVEFlora, IL 62839-2310
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113
Fax(618) 662-2811
Organization SubpartNo
Authorized OfficialMark B PetersenPresident · (309) 691-8113
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 18, 2017
NPI 1275622003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 0038760
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 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.
701 SHADWELL AVE, Flora, IL 62839

Other Names 1

Doing Business AsFlora Gardens Care Center

Other Identifiers 2

Medicaid=========001IL
Medicare OSCAR/certification145624

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0436140

Flora Gardens Care Center (d/B/A) Peterson Health Network LLC · Flora, IL
Active · expires Aug 31, 2026
CLIA Number14D0436140
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorZachary C. Fatheree
Laboratory Phone(618) 662-8361
Laboratory LocationFlora Gardens Care Center (d/B/A) Peterson Health Network LLC701 Shadwell Ave, Flora, IL 62839
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
701 SHADWELL AVE
FLORA, IL 62839
Physical Therapy Assistant
701 SHADWELL AVE
FLORA, IL 62839
Physical Medicine & Rehabilitation (Pain Medicine)
701 SHADWELL AVE
FLORA, IL 62839
Physical Therapy Assistant
701 SHADWELL AVE
FLORA, IL 62839
Speech-Language Pathologist
701 SHADWELL AVE
FLORA, IL 62839
Skilled Nursing Facility
701 SHADWELL AVE
FLORA, IL 62839
Durable Medical Equipment & Medical Supplies
701 SHADWELL AVE
FLORA, IL 62839
Skilled Nursing Facility
701 SHADWELL AVE
FLORA, IL 62839

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petersen Health Network, LLC's NPI number?

The NPI number for Petersen Health Network, LLC is 1275622003. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as Flora Gardens Care Center.

Where is Petersen Health Network, LLC located?

Petersen Health Network, LLC is located at 701 Shadwell Ave, Flora, IL 62839. The listed phone number is (618) 662-8361.

What is Petersen Health Network, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Petersen Health Network, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0436140) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Petersen Health Network, LLC was last updated on March 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.