Phoenix Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-2667 Issued in AZ

Legal business name

PHOENIX HEALTHCARE LLC

Practice address

4202 N 20TH Ave
Phoenix, AZ 85015-5101

Phone

(602) 264-3824

Fax

(602) 279-6234

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Alice Marie Clark Danks, CPA

Title

VP of Finance

Phone

(423) 308-1845

Specialties & licenses 1

Addresses

Other names 1

• Grace Healthcare of Phoenix Doing business as

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1275712002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 N 20TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155101",
            "telephone_number": "602-264-3824",
            "fax_number": "602-279-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 N 20TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155101",
            "telephone_number": "602-264-3824",
            "fax_number": "602-279-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "CLARK DANKS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "423-308-1845",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-2667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Healthcare of Phoenix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoenix Gospel Mission, Inc. Dba Phoenix Rescue Mission
• Phoenix Head and Neck Surgery LTD
• Phoenix Health & Wellness Center Inc.
• Phoenix Health Practitioners LLC
• Phoenix Health Psychology, PLLC
• Phoenix Heart Center, PC
• Phoenix Heart Hospice LLC
• Phoenix Home Health Nursing Services, Inc.
• Phoenix Home Health Services LLC
• Phoenix Id LLC

• Skilled Nursing Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.