Phoenix Home Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHOENIX HOME MEDICAL SUPPLY LLC

Practice address

6798 Watts Rd
Madison, WI 53719-1318

Phone

(608) 400-5219

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Junaid Hussain

Title

Managing Partner

Phone

(224) 520-0050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1144084898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MCDONOUGH RD STE 209",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6798 WATTS RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191318",
            "telephone_number": "608-400-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "JUNAID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "224-520-0050"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kay Phillips, PHD
• Jared Linwood Philpott
• Dellla Mae Phipps, P.C.
• Janet Phipps, MBA, ACC
• Heidi Nicole Phistry, SAC
• Phoenix Recovery
• Phoenix Rising Mental Health, LLC
• Erika Milagros Pi, LM CPM,CLC
• Michael Piazza Jr., DPT, ATC
• Jennifer Kate Piccolo

• Durable Medical Equipment & Medical Supplies in Madison, WI
• Providers in Madison, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.