Organization Active NPI

Phoenix Home Care, Inc.,

  • Home Health Agency
  • Clearwater, FL
National Provider Identifier
1649509852
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHOENIX HOME CARE, INC.,
Practice address
14004 Roosevelt Blvd
610
Clearwater, FL 33762-3823
Phone
(727) 532-9900
Fax
(727) 532-9933
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Mr. Robert P Gammons
Title
Ceo President Owner
Phone
(321) 286-7916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14004 Roosevelt Blvd
610
Clearwater, FL 33762-3823

Mailing address

14004 Roosevelt Blvd
610
Clearwater, FL 33762-3823
Phone (727) 532-9900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1649509852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14004 ROOSEVELT BLVD",
            "address_2": "610",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623823",
            "telephone_number": "727-532-9900",
            "fax_number": "727-532-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14004 ROOSEVELT BLVD",
            "address_2": "610",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623823",
            "telephone_number": "727-532-9900",
            "fax_number": "727-532-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME CARE, INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "GAMMONS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO PRESIDENT OWNER",
        "authorized_official_telephone_number": "321-286-7916",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.