PHFM, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

033475 Issued in MT

Legal business name

PHFM, LLC

Doing business as

Festus Manor

Practice address

627 Westwood Dr S
Festus, MO 63028-2062

Phone

(636) 931-9066

Fax

(636) 937-2019

NPI assigned

May 22, 2007

Last updated

Nov 3, 2011By 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

Mr. Ben Klein

Title

Manager

Phone

(847) 329-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Festus Manor Doing business as

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1811106198",
    "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": "627 WESTWOOD DR S",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282062",
            "telephone_number": "636-931-9066",
            "fax_number": "636-937-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHFM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-329-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "033475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101459402",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Festus Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Peveler, LPC
• Jacob Peyton, M.D.
• Karen Lee Pfitzinger, ANP
• Pharmax Partners Inc
• Pharmax Partners, Inc. (Pharmax LTC 1160)
• Monya Phung, DMD
• Physician Services LLC
• Rhonda Piazza, LPC
• Angela Pierce
• Margaret A. Pigg, LPC

• Skilled Nursing Facility in Festus, MO
• Providers in Festus, 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 Nov 3, 2011; 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.