Phenix Community Care Group, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHENIX COMMUNITY CARE GROUP, LLC

Practice address

6010 Yellowood CT
College Park, GA 30349-6993

Phone

(404) 839-8994

NPI assigned

Jan 18, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Gene T Keith Jr.

Title

Ceo

Phone

(404) 839-8994

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1215401617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 YELLOWOOD CT",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303496993",
            "telephone_number": "404-839-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 YELLOWOOD CT",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303496993",
            "telephone_number": "404-839-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENIX COMMUNITY CARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-839-8994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in College Park, GA
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• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.