Organization Active NPI

Phenomenal Healthcare Solutions

  • Health Service Clinic/Center
  • Spartanburg, SC
National Provider Identifier
1023603420
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PHENOMENAL HEALTHCARE SOLUTIONS
Practice address
1526C John B White Sr Blvd
Spartanburg, SC 29301-3886
Phone
(864) 707-2010
Fax
(855) 583-3720
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Audrey Huff, RN
Title
Owner
Phone
(864) 541-3616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1526C John B White Sr Blvd
Spartanburg, SC 29301-3886

Mailing address

527 Beechcreek Dr
Spartanburg, SC 29303-4329

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL phenomenalhealthcaresolutions@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231218004228 SC Part B Supplier - Clinic/Group Practice 5799191243 Receives reassigned benefits from 1 practitioner
Practice locations: Spartanburg, SC

National Provider Directory

National Provider Directory

Locations

150 Outlet Rd
Spartanburg, SC 29303
Phone (864) 340-5003

498 Howard St
Spartanburg, SC 29303

1526C John B White SR Blvd
Spartanburg, SC 29301
Phone (864) 541-3616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1023603420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 BEECHCREEK DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526C JOHN B WHITE SR BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013886",
            "telephone_number": "864-707-2010",
            "fax_number": "855-583-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOMENAL HEALTHCARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-541-3616",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "phenomenalhealthcaresolutions@yahoo.com",
            "affiliation": "N",
            "address_1": "1526C John B White SR Blvd",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293013886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.