Phleetbo LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PHLEETBO LLC

Practice address

3760 W McFadden Ave # B164
Santa Ana, CA 92704

Phone

(714) 661-0522

NPI assigned

May 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Clement JohnsonNPI 1902462070

Title

Ceo

Phone

(714) 417-0311

Specialties & licenses 1

Addresses

Other names 1

• Phleetbo Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clement Johnson

  • Technician
  • Santa Ana, CA
  • NPI 1902462070
  NPD (past) Authorized official

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1154811784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 W MCFADDEN AVE # B164",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041392",
            "telephone_number": "714-417-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 W MCFADDEN AVE # B164",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92704",
            "telephone_number": "714-661-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHLEETBO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-417-0311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phleetbo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Phillips
• Geoffrey B. Phillips, M.D.
• Nabil A Phillips, M.D.
• Tracy Phillips
• Phlebotomy Direct, LLC
• Letu Pho, RPH.
• Phoenix House Orange County, Inc
• Phoenix House Orange County, Inc
• Phoenix House Orange County, Inc.
• Phoenix House Orange County, Inc.

• In Home Supportive Care Agency in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.