Organization Active NPI

Phillips Investments, LLC - Bradenton Cove Operations Series

  • Assisted Living Facility
  • Bradenton, FL
National Provider Identifier
1952129165
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PHILLIPS INVESTMENTS, LLC - BRADENTON COVE OPERATIONS SERIES
Practice address
3503 14TH St W
Bradenton, FL 34205-6290
Phone
(941) 201-6055
NPI assigned
Sep 27, 2024
Organization subpart
Yes
Parent organization
PHILLIPS INVESTMENTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3503 14TH St W
Bradenton, FL 34205-6290

Mailing address

2402 18TH St
Charleston, IL 61920-4343
Phone (217) 345-5022

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1952129165",
    "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": "3503 14TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342056290",
            "telephone_number": "941-201-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS INVESTMENTS, LLC - BRADENTON COVE 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": []
}

Other providers in Bradenton, FL

Sources for this page

  • 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.