Organization Active NPI

Phenix Nursing Care Inc

  • In Home Supportive Care Agency
  • Miami Lakes, FL
National Provider Identifier
1043909096
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PHENIX NURSING CARE INC
Practice address
5901 NW 151St St Ste 120
Miami Lakes, FL 33014-2454
Phone
(786) 345-6505
Fax
(786) 228-0053
NPI assigned
May 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Nefer Medina
Title
Administrator/President
Phone
(786) 345-6505

Specialties & licenses 1

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

Addresses

Primary practice location

5901 NW 151St St Ste 120
Miami Lakes, FL 33014-2454

Mailing address

5901 NW 151St St Ste 120
Miami Lakes, FL 33014-2454
Phone (786) 345-6505

Other names 1

  • Phenix Nursing Care Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

5901 NW 151st St
Ste 120
Miami Lakes, FL 33014
Phone (786) 345-6505

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1043909096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 NW 151ST ST STE 120",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142454",
            "telephone_number": "786-345-6505",
            "fax_number": "786-228-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 NW 151ST ST STE 120",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142454",
            "telephone_number": "786-345-6505",
            "fax_number": "786-228-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENIX NURSING CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "NEFER",
        "authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
        "authorized_official_telephone_number": "786-345-6505"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phenix Nursing Care Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.