Organization Active NPI

Fenix Home Health LLC

  • Home Health Agency
  • Temecula, CA
National Provider Identifier
1356925226
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FENIX HOME HEALTH LLC
Practice address
41715 Enterprise Cir N # C210
Temecula, CA 92590-5663
Phone
(323) 552-3870
NPI assigned
May 7, 2021
Last updated
May 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Marisela Ramos-Varela
Title
Vice President
Phone
(323) 552-3870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

41715 Enterprise Cir N # C210
Temecula, CA 92590-5663

Mailing address

41715 Enterprise Cir N # C210
Temecula, CA 92590-5663
Phone (323) 552-3870

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2263957Fenix Home Health LLC41715 Enterprise Cir N Ste 210, Temecula, CA 92590Certificate of waiverNov 4, 2027

National Provider Directory

National Provider Directory

Locations

41715 Enterprise Cir N
#C210
Temecula, CA 92590
Phone (323) 552-3870

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1356925226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41715 ENTERPRISE CIR N # C210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905663",
            "telephone_number": "323-552-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41715 ENTERPRISE CIR N # C210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905663",
            "telephone_number": "323-552-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "RAMOS-VARELA",
        "authorized_official_first_name": "MARISELA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "323-552-3870"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.