Phenomenal Home Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHENOMENAL HOME CARE SERVICES

Practice address

405 S Parliament Dr Ste 201
Virginia Beach, VA 23462-6311

Phone

(757) 937-2357

NPI assigned

Mar 28, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Ingrid Darlette Fraser

Title

Administrator

Phone

(757) 937-2357

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1467913822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S PARLIAMENT DR STE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626311",
            "telephone_number": "757-937-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S PARLIAMENT DR STE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626311",
            "telephone_number": "757-937-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOMENAL HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "DARLETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-937-2357",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Phelan
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• Ariel Phelps
• Madison Phelps
• Michael Kim Pheng, MD
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• Caleb Philippe, APRN
• Bronwyn Philips
• Akaisia Tiffany Phillips
• Amy Leigh Phillips, L.S.W.

• 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 Nov 20, 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.