Phase 2 Face Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHASE 2 FACE HOME CARE LLC

Practice address

40 Richards Ave
3Rd Floor
Norwalk, CT 06854-2319

Phone

(203) 919-6641

NPI assigned

Dec 16, 2016

Organization subpart

No

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

Authorized official

Name

Joy Appiah

Title

President

Phone

(203) 919-6641

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Home health agency certification: CCN 077279

Legal name

PHASE 2 FACE HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 31, 2023

Last certification

Jun 23, 2023

Organization structure

LLCProprietary

Incorporated

Jan 12, 2012 in CT

Enrollment address

40 Richards Ave
2ND Floor
Norwalk, CT 06854
HHA Branch

Listed as

Phase 2 Face Home Care LLCCCN 077279

Ownership

-

Certified

Jul 31, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1013451574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 RICHARDS AVE",
            "address_2": "3RD FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542319",
            "telephone_number": "203-919-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 RICHARDS AVE",
            "address_2": "3RD FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542319",
            "telephone_number": "203-919-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE 2 FACE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "APPIAH",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-919-6641"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea A Peterson, MD
• Bridget Ione Peterson, PA-C
• Claudio R Petrillo, MD
• Susan M Pfeil, LADC
• Tuong-VI Phan, M.D.
• Phase 2 Face Home Care, LLC
• Gaelle Stacy Philippe
• Lisa Phuong, D.O.
• Cammann Sharpe Piasecki, ESQ, RCP, CRPA
• Paulina Piekarska, DPM

• Home Health Agency in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Home Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.