Phases of Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PHASES OF CARE LLC

Practice address

100 Rue Saint Francois St Ste 106
Florissant, MO 63031-5131

Phone

(314) 489-9674

NPI assigned

Jun 10, 2019

Last updated

Jun 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiera Page

Title

Ceo

Phone

(314) 489-9674

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1114586500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CADY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631351108",
            "telephone_number": "314-489-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RUE SAINT FRANCOIS ST STE 106",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315131",
            "telephone_number": "314-489-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASES OF CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "TIERA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-489-9674"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Elizabeth Pettibone, MSW, LMSW
• Julie Pettit, PHARM D
• Kertonnia Petty-Miliken
• Lyra Rivera Phan, PT
• Phases of Care in-Home Services, LLC
• Rachel Miller Philippone, L.P.C.
• Nicole A Phillips, FNP
• Phlebotomy Bosses
• Phoenix Community Living & Care LLC
• Physician Groups LC (Northwest Physicians)

• In Home Supportive Care Agency in Florissant, MO
• Providers in Florissant, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.