MEDICARE: PHAR, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	037148	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801039524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHAR, LLC

Provider Business Mailing Address
First Line	:	7444 LONG AVE
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-3214
Country	:	US
Telephone Number	:	847-329-4100
Fax Number	:	847-329-7652

Provider Business Practice Location Address
First Line	:	300 AUTUMN RIDGE DRIVE
Second Line	:
City	:	HERCULANEUM
State	:	MO
Zip	:	63048-1505
Country	:	US
Telephone Number	:	636-931-8400
Fax Number	:	636-933-3975

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. BENJAMIN KLEIN
Credential	:
Telephone Number	:	847-329-4100

Provider Enumeration Date	:	04/10/2009
Last Update Date	:	07/28/2009

Similar Medicare Providers

1528002169 — DR. DEBORAH LEE EBERT GROMMET D.C.
Practice Location Address:

1055 COMMERCIAL BLVD
HERCULANEUM, MO
63048-1415

Practice Phone: 636-475-4477
Practice Fax: 636-475-4477

1346315975 — SCENIC NURSING AND REHABILITATION CENTER, LLC
Practice Location Address:

1333 SCENIC DR
HERCULANEUM, MO
63048-1550

Practice Phone: 636-931-2995
Practice Fax: 636-931-8760

1639244676 — SCENIC NURSING AND REHABILITATION CENTER, LLC
Practice Location Address:

1333 SCENIC DR
HERCULANEUM, MO
63048-1550

Practice Phone: 636-931-2995
Practice Fax: 636-931-8760

1538281787 — DR. JOSEPH PAUL SCHMIEDER DMD
Practice Location Address:

1171 SCENIC DR
HERCULANEUM, MO
63048

Practice Phone: 636-479-5324
Practice Fax: 636-475-9339

1780803221 — EMERITUSCORPORATION
Practice Location Address:

300 AUTUMN RIDGE DR
HERCULANEUM, MO
63048-1506

Practice Phone: 636-931-8400
Practice Fax: 636-933-3975

1003035726 — NEXTSTEP FOR LIFE, INC
Practice Location Address:

1615 VINE SCHOOL RD
HERCULANEUM, MO
63048-1590

Practice Phone: 636-282-4400
Practice Fax:

Directions to “PHAR, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.