Phillips Manor LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PHILLIPS MANOR LLC

Practice address

28 Linwood Rd
Lynn, MA 01905-1638

Phone

(781) 592-8000

Fax

(781) 598-1556

NPI assigned

Aug 21, 2017

Organization subpart

No

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

Authorized official

Name

Richard Marc Augeri, LNHA

Title

Owner/Operator

Phone

(781) 420-9245

Specialties & licenses 1

Addresses

Other names 1

• Phillips Manor Doing business as

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1972029098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SPRUCE ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484417",
            "telephone_number": "781-420-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LINWOOD RD",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019051638",
            "telephone_number": "781-592-8000",
            "fax_number": "781-598-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "AUGERI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "781-420-9245",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Petro, M.S.
• Glauce Petrone, DO
• Daniel Pfistner
• Minh Tamthi Pham, LPCA
• Miadette Pheng-Phal, NP-C
• Natalie T Phipps, RN
• Catherine Phothisane
• Daniel Picciotto, M.A.
• Alan Robert Piccole
• Anis Pichardo, MPSY

• Skilled Nursing Facility in Lynn, MA
• Providers in Lynn, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.