Phoenix Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PHOENIX CARE LLC

Practice address

542 Lost Gold Rd
Waco, TX 76708-7036

Phone

(254) 366-8331

NPI assigned

May 25, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Odette Jaimes

Title

Owner

Phone

(254) 366-8331

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1265007975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 LOST GOLD RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767087036",
            "telephone_number": "254-366-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 LOST GOLD RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767087036",
            "telephone_number": "254-366-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "JAIMES",
        "authorized_official_first_name": "ODETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-366-8331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Phillippi, MS, RD, LD
• Henry Lee Phillips, O.D.
• Tytiana Shabree Phillips, BT
• Wendy Eileen Phillips, HIS
• Gwendolen Phipps, RN
• Physician Assistant Services of Texas L.L.P
• Physicians Management Services LLC
• Physicians Surgery Center of Waco
• Catherine Ann Piar, PTA
• Mary Pickler, MS, RD, LD

• In Home Supportive Care Agency in Waco, TX
• Providers in Waco, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.