PHBV, LLC

Skilled Nursing Facility · Peoria Heights, IL

Organization Active NPI

NPI number 1043483118

Practice location

1629 E Gardner Ln
Peoria Heights, IL 61616-3613
Phone
(309) 685-1545
Fax
(309) 685-1571

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NPI record

NPI
1043483118
Entity type
Organization (Type 2)
Enumeration date
April 9, 2008
Last updated
September 14, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Mailing address

7444 Long Ave
Skokie, IL 60077-3214
Phone
(847) 329-4100
Fax
(847) 329-4900

Authorized official

Name
Ms. Maralee Runge
Title
Office Manager
Phone
(847) 329-4100

Other names

  • Bella Vista Care Center

About PHBV, LLC

PHBV, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 1629 E Gardner Ln, Peoria Heights, IL 61616-3613. The NPI number 1043483118 was assigned on April 9, 2008 and the record was last updated on September 14, 2011.

The authorized official for this organization is Ms. Maralee Runge, Office Manager.

Frequently asked questions

What is the NPI number of PHBV, LLC?

The NPI number is 1043483118.

What is the phone number of PHBV, LLC?

The phone number listed for the practice location is (309) 685-1545.

Where is PHBV, LLC located?

1629 E Gardner Ln, Peoria Heights, IL 61616-3613.

What is the taxonomy code for PHBV, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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