Active NPI
Phoenix Home Care Inc
- Home Health Agency
- Traverse City, MI
National Provider Identifier
1619751138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PHOENIX HOME CARE INC
- Practice address
- 2785 Garfield Rd N Ste C
Traverse City, MI 49686-5168 - Phone
- (231) 268-0027
- NPI assigned
- Aug 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Ee Benson
- Title
- Owner/Administrator
- Phone
- (231) 268-0027
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2785 Garfield Rd N Ste C
Traverse City, MI 49686-5168
Mailing address
2785 Garfield Rd N Ste C
Traverse City, MI 49686-5168
Phone (231) 268-0027
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692835200000",
"number": "1619751138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2785 GARFIELD RD N STE C",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496865168",
"telephone_number": "231-268-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2785 GARFIELD RD N STE C",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496865168",
"telephone_number": "231-268-0027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A",
"authorized_official_last_name": "BENSON",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "EE",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "231-268-0027"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.