Phoenix Home Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHOENIX HOME CARE, INC

Practice address

10330 N Dale Mabry Hwy
Suite 220
Tampa, FL 33618-4404

Phone

(813) 963-0800

Fax

(813) 963-0200

NPI assigned

Dec 17, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Robert P. Gammons

Title

Ceo President

Phone

(321) 286-7916

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1295064400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N DALE MABRY HWY",
            "address_2": "SUITE 220",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184404",
            "telephone_number": "813-963-0800",
            "fax_number": "813-963-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 N DALE MABRY HWY",
            "address_2": "SUITE 220",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184404",
            "telephone_number": "813-963-0800",
            "fax_number": "813-963-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "GAMMONS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "321-286-7916",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayesha Philyaw, PHARM.D.
• Timothy Phippins
• Phoenix American Medical LLC
• Phoenix Counseling Service, Inc.
• Phoenix Dental, PLLC
• Phoenix Home Health LLC
• Phoenix Home Health LLC
• Phoenix Medical Centers Corp
• Phoenix Programs of Florida, Inc. Dba Phoenix Houses of Florida, Inc.
• Tonya Phoenix-Vetino

• Home Health Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.