Phoenix Home Health Sacramento LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHOENIX HOME HEALTH SACRAMENTO LLC

Practice address

2255 Watt Ave Ste 320-D
Sacramento, CA 95825-0508

Phone

(805) 298-0012

Fax

(626) 683-9969

NPI assigned

Apr 9, 2025

Organization subpart

No

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

Authorized official

Name

Ralph Santos

Title

Managing Member

Phone

(818) 731-7173

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1013702364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5447 COCHISE ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632049",
            "telephone_number": "818-731-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 WATT AVE STE 320-D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250508",
            "telephone_number": "805-298-0012",
            "fax_number": "626-683-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME HEALTH SACRAMENTO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "818-731-7173"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyreisha Kamarri Phillips
• William L Phillips, MD
• Zoraya Phillips
• Jean Marie Philson
• Paul R. Phinney, MD
• Lyshawn Xatiy Phommakhoth
• Brandon Choi Phong, MD
• Vanessa Phonhlamuongdy
• Malay Phoong, PHD
• Brian Phu

• Home Health Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.