PHRS, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0049528 Issued in IL

Legal business name

PHRS, LLC

Doing business as

Rivershores Care Center

Practice address

578 Commercial St
Marseilles, IL 61341-1814

Phone

(815) 795-5121

Fax

(815) 795-6213

NPI assigned

Mar 31, 2008

Last updated

Mar 31, 2008By 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 Rungee

Title

Office Manager

Phone

(847) 329-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rivershores Care Center Doing business as

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1487826384",
    "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": "578 COMMERCIAL ST",
            "city": "MARSEILLES",
            "state": "IL",
            "postal_code": "613411814",
            "telephone_number": "815-795-5121",
            "fax_number": "815-795-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHRS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "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": "0049528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "14-5295",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivershores Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eleazar Elegino Nellas, PT
• Victoria O'Hanlon, APRN FNP-C
• Og Surgical Assistance Inc
• Ottawa Regional Hospital & Healthcare Center (OSF Healthcare - Medical Group - Marseilles)
• Ottawa Regional Hospital & Healthcare Center (OSF Healthcare - Medical Group (Non-RHC Billing))
• River Shore Rehabilitation and Nursing Center
• Rivershores Healthcare and Rehabilitation Centre LLC (Rivershores Healthcare and Rehabilitation Centre)
• Jesse Rodriguez-Hammond
• Schotts Pharmacy Inc
• Schotts Pharmacy Inc (Schott's Pharmacy)

• Skilled Nursing Facility in Marseilles, IL
• Providers in Marseilles, 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 Mar 31, 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.