PHCH, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0049510 Issued in IL

Legal business name

PHCH, LLC

Practice address

515 S Bureau Valley Pkwy
Princeton, IL 61356-2203

Phone

(815) 875-3347

Fax

(815) 875-2012

NPI assigned

Apr 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Maralee Rungee

Title

Office Manager

Phone

(847) 329-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colonial Hall Care Center Doing business as

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1154594299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 LONG AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773214",
            "telephone_number": "847-329-4100",
            "fax_number": "847-329-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S BUREAU VALLEY PKWY",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562203",
            "telephone_number": "815-875-3347",
            "fax_number": "815-875-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "RUNGEE",
        "authorized_official_first_name": "MARALEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-329-4100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0049510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "14-5437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Hall Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ketan Patel, MD
• Cindy Penzenik, PT
• Petersen Companies, LLC
• Lara Jean Petersen
• Barbara A Peterson, PT
• Jennifer Phillips, RPH
• Alison Pienta, LMT
• Ahlyssa Pinter, LCSW
• Play It Forward Counseling LLC
• Kendra Mae Poole, APRN FNP-C

• Skilled Nursing Facility in Princeton, IL
• Providers in Princeton, 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 Apr 9, 2008; 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.