Phillips Warner Investments, LLC - Gibson City Operations Series

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PHILLIPS WARNER INVESTMENTS, LLC - GIBSON CITY OPERATIONS SERIES

Practice address

1400 N Melvin St
Gibson City, IL 60936-1410

Phone

(217) 727-1082

NPI assigned

Oct 5, 2024

Organization subpart

Yes

Parent organization

PHILLIPS WARNER 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": "1728086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1932928199",
    "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": "1400 N MELVIN ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361410",
            "telephone_number": "217-727-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS WARNER INVESTMENTS, LLC - GIBSON CITY OPERATIONS SERIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHILLIPS WARNER INVESTMENTS, LLC",
        "enumeration_date": "2024-10-05",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "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": []
}

• Melissa Kay Parks, RN
• Amanda Parrish, AGACNP
• Kerrie Ann Patrick, RN
• Adam Paul Pena, MD
• Kaylee Jo Petersen
• Robert A Poole
• Ginny E Pulley, LPN
• R.a. Physical Therapy, PC
• Subbiah Rajaguru, M.D.
• Ray Medical Services, PLLC

• Assisted Living Facility in Gibson City, IL
• Providers in Gibson City, 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 Oct 7, 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.