Organization Active NPI

New Phoenix LLC.

  • In Home Supportive Care Agency
  • Wilson, NC
National Provider Identifier
1043129588
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NEW PHOENIX LLC.
Practice address
127 Goldsboro St S
Wilson, NC 27893-4903
Phone
(252) 640-2459
Fax
(919) 289-1767
NPI assigned
Sep 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Felicia Domonique Hyden
Title
Owner
Phone
(252) 294-8408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

127 Goldsboro St S
Wilson, NC 27893-4903

Mailing address

127 Goldsboro St S
Wilson, NC 27893-4903
Phone (252) 640-2459

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1043129588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 GOLDSBORO ST S",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934903",
            "telephone_number": "252-640-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 GOLDSBORO ST S",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934903",
            "telephone_number": "252-640-2459",
            "fax_number": "919-289-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PHOENIX LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "HYDEN",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "DOMONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-294-8408"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.