Organization Active NPI

Phoenix Home Health LLC

  • Attendant Care Provider
  • Tampa, FL
National Provider Identifier
1144057068
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
PHOENIX HOME HEALTH LLC
Practice address
8407 Pinehurst Dr Ste 115
Tampa, FL 33615-1532
Phone
(813) 290-7171
Fax
(813) 213-0911
NPI assigned
Sep 16, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Martha JuvierNPI 1841893625
Title
Director
Phone
(786) 218-3729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X NU Primary

Addresses

Primary practice location

8407 Pinehurst Dr Ste 115
Tampa, FL 33615-1532

Mailing address

8407 Pinehurst Dr Ste 115
Tampa, FL 33615-1532
Phone (813) 290-7171

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Home Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1144057068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 PINEHURST DR STE 115",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151532",
            "telephone_number": "813-290-7171",
            "fax_number": "813-213-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 PINEHURST DR STE 115",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151532",
            "telephone_number": "813-290-7171",
            "fax_number": "813-213-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "JUVIER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-218-3729"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.