Phibam Devoted Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

130160 Issued in NC

Legal business name

PHIBAM DEVOTED HOME CARE

Practice address

5312 Six Forks Rd Ste 108
Same As Above
Raleigh, NC 27609-4458

Phone

(919) 786-7438

NPI assigned

Mar 21, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kate Lyons

Title

Agency Director

Phone

(919) 786-7438

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1639596232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 SIX FORKS RD STE 108",
            "address_2": "SAME AS ABOVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094458",
            "telephone_number": "919-786-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 SIX FORKS RD STE 108",
            "address_2": "SAME AS ABOVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094458",
            "telephone_number": "919-786-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIBAM DEVOTED HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-786-7438",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "130160",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "130160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah E Phelps, CNM
• Lou Ann Phelps
• Brittany Shaw Phero, PA-C
• Barbara Wyman Pherribo, LPC
• Micah James Pherson, M.D.
• Rebecca Leigh Philbin, RN, IBCLC
• Philip a Lisk, DDS, PA
• Philip House Therapeutic Services Inc
• Philip Housetherapeutic Services Inc
• Philip L Hillsman MD PA

• In Home Supportive Care Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.