Phillips Investments, LLC - Bethalto Operations Series

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PHILLIPS INVESTMENTS, LLC - BETHALTO OPERATIONS SERIES

Practice address

312 Mechanical Dr
East Alton, IL 62024-2008

Phone

(618) 717-0820

NPI assigned

Sep 27, 2024

Last updated

Sep 27, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

PHILLIPS INVESTMENTS, LLCAs reported in NPPES

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

Authorized official

Name

Randy Porter, CFO

Title

Chief Financial Officer

Phone

(217) 345-5022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1417775628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 18TH ST",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619204343",
            "telephone_number": "217-345-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MECHANICAL DR",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242008",
            "telephone_number": "618-717-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS INVESTMENTS, LLC - BETHALTO OPERATIONS SERIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHILLIPS INVESTMENTS, LLC",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "217-345-5022",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in East Alton, IL
• Providers in East Alton, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.