Organization Active NPI

Phoenix Home Care, Inc

  • Home Health Agency
  • Kissimmee, FL
National Provider Identifier
1205074077
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHOENIX HOME CARE, INC
Practice address
50 W Oak St
Kissimmee, FL 34741-4416
Phone
(407) 846-2252
Fax
(407) 846-2256
NPI assigned
Jan 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Mr. Robert P Gammons
Title
Ceo/President
Phone
(321) 286-7916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

50 W Oak St
Kissimmee, FL 34741-4416

Mailing address

50 W Oak St
Kissimmee, FL 34741-4416
Phone (407) 846-2252

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1205074077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414416",
            "telephone_number": "407-846-2252",
            "fax_number": "407-846-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414416",
            "telephone_number": "407-846-2252",
            "fax_number": "407-846-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-31",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "GAMMONS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "321-286-7916",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.