Phoenix Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

147587-0000-7200 Issued in VA

Legal business name

PHOENIX HOME HEALTHCARE LLC

Practice address

4793 Shallowford Cir
Virginia Beach, VA 23462-7924

Phone

(757) 735-0976

NPI assigned

Aug 28, 2014

Last updated

Aug 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frederica PhoenixNPI 1609274059

Title

Owner

Phone

(757) 735-0976

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederica Phoenix

  • Home Health Aide
  • Virginia Beach, VA
  • NPI 1609274059
  NPD (past) Authorized official

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1457751265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4793 SHALLOWFORD CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627924",
            "telephone_number": "757-735-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4793 SHALLOWFORD CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627924",
            "telephone_number": "757-735-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "PHOENIX",
        "authorized_official_first_name": "FREDERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-735-0976"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "147587-0000-7200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Edmondson Phillips, M.S., CGC
• Terri Phillips, CRNA
• Phlebo Lab Professional Services
• Phlebotomy Xperts, LTD.
• Phoenix Counseling Services, LLC
• Phoenix Mental Health LLC
• Phoenix Mental Health Services LLC
• Frederica Phoenix
• Physician Assistant Services Inc
• Physicians' Surgery Center of Tidewater, LLC (Physicians' Surgery Center of Tidewater)

• Home Health Agency in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.