Grey Phoenix LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREY PHOENIX LLC

Practice address

2689 Orchard Oriole Way
Odenton, MD 21113-3120

Phone

(202) 681-9190

NPI assigned

Apr 24, 2025

Organization subpart

Yes

Parent organization

GREY PHOENIX LLCAs reported in NPPES

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

Authorized official

Name

Oladipupo Adenubi

Title

MD/ Ceo

Phone

(202) 681-9190

Specialties & licenses 3

Addresses

Other names 1

• Avender Health Services Doing business as

Part of

Grey Phoenix LLC

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1609663368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2689 ORCHARD ORIOLE WAY",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133120",
            "telephone_number": "202-681-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2689 ORCHARD ORIOLE WAY",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133120",
            "telephone_number": "202-681-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREY PHOENIX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREY PHOENIX LLC",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "ADENUBI",
        "authorized_official_first_name": "OLADIPUPO",
        "authorized_official_title_or_position": "MD/ CEO",
        "authorized_official_telephone_number": "202-681-9190"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avender Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avender Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Odenton, MD
• Providers in Odenton, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.