PHCH, LLC (NPI# 1154594299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154594299 |
| Entity Type | Organization |
| Organization Name | PHCH, LLC |
| Other Organization Name | COLONIAL HALL CARE CENTER |
| Practice Address |
515 S Bureau Valley Pkwy Princeton IL 61356-2203 |
| Mailing Address |
7444 Long Ave Skokie IL 60077-3214 |
| Practice Telephone | 8158753347 |
| Practice Fax Number | 8158752012 |
| Mailing Telephone | 8473294100 |
| Mailing Fax Number | 8473294900 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |
| Authorized Official Name | MS. MARALEE RUNGEE (OFFICE MANAGER) |
| Authorized Official Telephone | 8473294100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0049510 | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 14-5437 | 01 |
| Other Name | Type Code |
|---|---|
| Colonial Hall Care Center | Doing Business As Name - Organization |
| Street Address |
515 S BUREAU VALLEY PKWY |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184756173 | Colonial Nursing and Rehabilitation Center | Skilled Nursing Facility | 515 S Bureau Valley Pkwy, Princeton, IL 61356-2203 | 2007-03-12 |
| 1255973152 | Aperion Care Princeton | Durable Medical Equipment & Medical Supplies | 515 S Bureau Valley Pkwy, Princeton, IL 61356-2203 | 2019-10-11 |
| 1891206991 | Aperion Care Princeton | Durable Medical Equipment & Medical Supplies | 515 S Bureau Valley Pkwy, Princeton, IL 61356-2203 | 2017-10-16 |
| 1649612490 | Shelly L Nelson | Speech-Language Pathologist | 515 S Bureau Valley Pkwy, Princeton, IL 61356-2203 | 2013-07-22 |
| 1528302262 | Colonial Healthcare and Rehabilitation Centre LLC | Skilled Nursing Facility | 515 S Bureau Valley Pkwy, Princeton, IL 61356-2203 | 2012-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| Find all providers in zip 61356 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478286 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 1401 W. Princeton Dr., Princeton, TX 75407 | 2019-10-11 |
| 1467878512 | Genesis Health Care | Skilled Nursing Facility | 11524 Dawson Road, Princeton, KY 42445 | 2014-03-13 |
| 1184756173 | Colonial Nursing and Rehabilitation Center | Skilled Nursing Facility | 515 S Bureau Valley Pkwy, Princeton, IL 61356-2203 | 2007-03-12 |
| 1073688222 | Princeton Nursing Home &rehabilitation Center Inc. | Skilled Nursing Facility | 728 Bunn Dr, Princeton, NJ 08540-1963 | 2006-11-22 |
| 1467564047 | Good Samaritan Hospital | Skilled Nursing Facility | 1244 Vail St, Princeton, IN 47670-9513 | 2006-08-31 |
| 1790712206 | Sunnyview Health Care Center Inc. | Skilled Nursing Facility | 900 Sunnyview Ln, Princeton, WI 54968-9262 | 2006-06-28 |
| 1871531459 | The Waters of Princeton, LLC | Skilled Nursing Facility | 1020 W Vine St, Princeton, IN 47670-1164 | 2006-06-03 |
| 1083692420 | Residential Alternatives of Illinois Inc | Skilled Nursing Facility | 140 N 6th St, Princeton, IL 61356-1878 | 2006-01-05 |
| 1043291255 | Pearl's II Eden for Elders LLC | Skilled Nursing Facility | 611 N College Ave, Princeton, MO 64673-1051 | 2005-11-07 |
| 1205824646 | Glenwood Park, Inc. | Skilled Nursing Facility | 1924 Glenwood Park Rd, Princeton, WV 24740-7969 | 2005-10-10 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.