Phoenix Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHOENIX CARE LLC

Practice address

9582 Camino Capistrano LN
Las Vegas, NV 89147-8021

Phone

(702) 540-5358

NPI assigned

Sep 18, 2012

Organization subpart

No

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

Authorized official

Name

Miss Sandra N Taiwo, RN

Title

Don/Admistrator

Phone

(443) 764-9117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1245580158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9852 CAMINO CAPISTRANO LANE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9582 CAMINO CAPISTRANO LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478021",
            "telephone_number": "702-540-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "TAIWO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DON/ADMISTRATOR",
        "authorized_official_telephone_number": "443-764-9117",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Phipps
• Phlebworx
• Vicki Pho
• Phoenix Behavioral Group LLC
• Phoenix Behavioral Group LV LLC (United Medical Group lv)
• Phoenix Mental Health, PLLC
• Phoenix Pharmaceuticals Inc (phoenix Pharmacy)
• Phoenix Vision LLC (Evolve BodyMD)
• John R Phoenix, APRN
• Sophear Phoeuk

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.