Organization Active NPI

Phenomenal Home Health Care LLP

  • Home Health Agency
  • Columbia, SC
National Provider Identifier
1255126256
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHENOMENAL HOME HEALTH CARE LLP
Practice address
9005 Two Notch Rd # 41
Columbia, SC 29223-5850
Phone
(803) 638-4120
NPI assigned
Apr 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Mr. Warren Bailey
Title
C.F.O.
Phone
(803) 638-4120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9005 Two Notch Rd # 41
Columbia, SC 29223-5850

Mailing address

9005 Two Notch Rd # 41
Columbia, SC 29223-5850
Phone (803) 638-4120

National Provider Directory

National Provider Directory

Locations

9005 Two Notch Rd
#41
Columbia, SC 29223
Phone (803) 638-4120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1255126256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 TWO NOTCH RD # 41",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235850",
            "telephone_number": "803-638-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 TWO NOTCH RD # 41",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235850",
            "telephone_number": "803-638-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOMENAL HOME HEALTH CARE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "803-638-4120",
        "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 Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.