Phenominal Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHENOMINAL HEALTH SERVICES LLC

Practice address

7517 Hillsdale Dr
Saint Louis, MO 63121-4747

Phone

(314) 280-8565

NPI assigned

Oct 31, 2023

Last updated

Jun 12, 2024By 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

Jamie Lajay Bracely

Title

Executive Director

Phone

(314) 280-8565

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1245003417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 HILLSDALE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214747",
            "telephone_number": "314-280-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 HILLSDALE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214747",
            "telephone_number": "314-280-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOMINAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "BRACELY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LAJAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-280-8565"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly J Phelps, ANP
• Patty Phelps, OT
• Alexis Pheng
• Malinda A Phenix
• Phenomenal Healthcare LLC
• Francisco Miled Pherez, MD
• Michael J Philbin, MSW, LMSW
• John Charles Philibert, MD
• Megan Elizabeth Philibert, MD
• Andrea Philip, MD

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.