Phenix Care LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

PHENIX CARE LLC

Practice address

9222 Snow Flower Ave
Las Vegas, NV 89147-6843

Phone

(702) 624-6292

NPI assigned

Apr 24, 2024

Organization subpart

No

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

Authorized official

Name

Eliezer Leon Cuellar

Title

Manager

Phone

(702) 515-9926

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1487400099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 SNOW FLOWER AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 SNOW FLOWER AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476843",
            "telephone_number": "702-624-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENIX CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "LEON CUELLAR",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-515-9926"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree E Phelps
• Heather Phelps
• Jasmine Marie Phelps
• Peter Phelps
• Huai C Phen, DDS
• Mary Elizabeth Phenix, LMFT
• Phenom Speech Therapy, LLC
• Phenomenal Care Home Health
• Phenomenal Mama Limited Liability Company
• PHHC of Nevada LLC

• Adult Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.