Phillip Thomas

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

1400 Seneca Blvd Apt 403
Broadview Heights, OH 44147-2492

Phone

(216) 320-7696

NPI assigned

Mar 23, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1326741802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SENECA BLVD APT 403",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472492",
            "telephone_number": "216-320-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SENECA BLVD APT 403",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472492",
            "telephone_number": "216-320-7696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Seneca Blvd Apt 403",
            "address_purpose": "LOCATION",
            "city": "Broadview Heights",
            "state": "OH",
            "postal_code": "441472492",
            "country_code": "US",
            "telephone_number": "216-320-7696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PHILLIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.