BLOOMINGTON REHABILITATION & HEALTH CARE CENTER
NPI 1497712228
Skilled Nursing Facility in Bloomington, IL

Active since April 26, 2006CLIA 14D0858549 · Waiver
1925 S MAIN ST, BLOOMINGTON, IL 61704(309) 829-4248(309) 827-4570 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2020, Aug 17, 2018 (2 updates tracked since 2018).

About Bloomington Rehabilitation & Health Care Center NPPES

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

BLOOMINGTON REHABILITATION & HEALTH CARE CENTER (NPI 1497712228) is a healthcare organization registered as a skilled nursing facility in Bloomington, Illinois and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mark B. Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1497712228
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePETERSEN HEALTH OPERATIONS, LLC
Location Address1925 S MAIN STBloomington, IL 61704-7301
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113 · Fax (309) 691-8622
Fax(309) 827-4570
Organization SubpartNo
Authorized OfficialMark B. PetersenManager · (309) 691-8113
Enumeration DateApril 26, 2006
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
NPI 1497712228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.

1925 S MAIN ST, Bloomington, IL 61704

Other Names 1

Doing Business AsBloomington Rehabilitation & Health Care Center

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 14D0858549

Bloomington Rehabilitation & Health Care Center Petersen Health Operations LLC · Bloomington, IL
Active · expires Aug 31, 2026
CLIA Number14D0858549
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKathryn R. Knott
Laboratory Phone(309) 829-4348
Laboratory LocationBloomington Rehabilitation & Health Care Center Petersen Health Operations LLC1925 S Main St, Bloomington, IL 61704
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Speech-Language Pathologist
1925 S MAIN ST
BLOOMINGTON, IL 61704
Skilled Nursing Facility
1925 S MAIN ST
BLOOMINGTON, IL 61704
Speech-Language Pathologist
1925 S MAIN ST
BLOOMINGTON, IL 61704

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 Operations, LLC's NPI number?

The NPI number for Petersen Health Operations, LLC is 1497712228. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider is doing business as Bloomington Rehabilitation & Health Care Center.

Where is Petersen Health Operations, LLC located?

Petersen Health Operations, LLC is located at 1925 S Main St, Bloomington, IL 61704. The listed phone number is (309) 829-4248.

What is Petersen Health Operations, LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 14D0858549) 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 Operations, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.