Phenomenal Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PHENOMENAL CARE

Practice address

4006 Biddison LN
#3A
Baltimore, MD 21206-4146

Phone

(443) 801-2967

NPI assigned

Dec 17, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Raysheena Evette Sims

Title

Owner/ Ceo

Phone

(443) 801-2967

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1639590664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 MERCANTILE RD",
            "address_2": "UNIT 43662",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212368500",
            "telephone_number": "443-801-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 BIDDISON LN",
            "address_2": "#3A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064146",
            "telephone_number": "443-801-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOMENAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "RAYSHEENA",
        "authorized_official_middle_name": "EVETTE",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "443-801-2967",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Martin Phelps
• Lauren Pamela Phelps, RN
• Matthew Charles Phelps, LMSW
• Michael Alan Phelps, MD
• Molly Phelps, LCSW-C
• Phi Health, LLC (PHI Air Medical)
• Phi Inc (PHI Air Medical)
• Philex Health Services Inc.
• Philip J. Ferris, M.D., P.a. (P. Jeffrey Ferris, M.D.)
• Biji Philip

• In Home Supportive Care Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• In Home Supportive Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.