PHSL, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PHSL, LLC

Doing business as

Shangri-la Rehab and Living Center

Practice address

930 NE Duncan Rd
Blue Springs, MO 64014-2173

Phone

(816) 229-6677

NPI assigned

Jan 10, 2008

Last updated

Sep 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Maralee Runge

Title

Office Manager

Phone

(847) 329-4100

Specialties & licenses 1

Addresses

Other names 1

• Shangri-la Rehab and Living Center Doing business as

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1447436274",
    "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": "930 NE DUNCAN RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142173",
            "telephone_number": "816-229-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHSL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "RUNGE",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shangri-la Rehab and Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John E. Peterson, D.O.
• Kim Pham, PHARMD
• Bryan L Phillips, M.D.
• Ramona Phillips
• Mary Phipps, PTA
• Physicians Reference Laboratory LLC
• Physicians Reference Laboratory LLC
• Physicians Reference Laboratory LLC
• Karlie Pieper
• Pierre W Keitges MD PC

• Skilled Nursing Facility in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.