Phoenix Rising Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PHOENIX RISING HOME CARE LLC

Practice address

267 Andare Blvd
Clayton, DE 19938-3986

Phone

(267) 734-4800

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By 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

Joann Prather

Title

President

Phone

(267) 734-4800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1194449231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 SEMINOLE AVE",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070352220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 ANDARE BLVD",
            "city": "CLAYTON",
            "state": "DE",
            "postal_code": "199383986",
            "telephone_number": "267-734-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-734-4800"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Kinnamon, RN
• Kyme McCleary, LPN
• Kpana Malo Mengah, RN, PMHNP-BC
• Messiah Moore, PHARM.D.
• Marlon Person Sr.
• Diasia Liarra Polk, PMHNP-BC
• Robin Renee Pratola, NURSE PRACTITIONER
• Mary Kate Koziol Rhoades, CCC-SLP
• Robert C. Donlick, DO, PA
• Hannah Rogers

• In Home Supportive Care Agency in Clayton, DE
• Providers in Clayton, DE by specialty
• In Home Supportive Care Agency in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.