NPIMap

Organization Active NPI

Phoenix Home Health Care Services, LTD

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1013935931
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHOENIX HOME HEALTH CARE SERVICES, LTD
Practice address
30 Northwoods Blvd Ste 200
Columbus, OH 43235-4736
Phone
(614) 888-8885
Fax
(614) 888-8893
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Ms. Lilly Peng, RN
Title
Ceo
Phone
(614) 202-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

30 Northwoods Blvd Ste 200
Columbus, OH 43235-4736

Mailing address

30 Northwoods Blvd Ste 200
Columbus, OH 43235-4736
Phone (614) 888-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

30 Northwoods Blvd
Ste 200
Columbus, OH 43235
Phone (614) 333-2200

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 27, 2017 Change of OwnershipThis provider was the seller Phoenix Home Health Care of Central Ohio LLCCCN 368108, OH, NPI 1184136152

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1013935931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NORTHWOODS BLVD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354736",
            "telephone_number": "614-888-8885",
            "fax_number": "614-888-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTHWOODS BLVD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354736",
            "telephone_number": "614-888-8885",
            "fax_number": "614-888-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME HEALTH CARE SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "PENG",
        "authorized_official_first_name": "LILLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-202-8999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.