Phoenix Health LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PHOENIX HEALTH LLC

Practice address

767 7TH St NW
New Brighton, MN 55112

Phone

(612) 298-3561

NPI assigned

May 27, 2024

Organization subpart

No

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

Authorized official

Name

Omar Mohamud

Title

Manager

Phone

(612) 298-3561

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1669212809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 7TH ST NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "612-298-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 7TH ST NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "612-298-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-298-3561"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Petry, DC
• Brittany Pfleghaar, MSED, PSYD
• Christopher Pfleghaar
• Melanie Dawn Phillips, OTR
• Phoenix Care LLC
• Joualery Moua Piajyang
• Teresa Marie Pickett, PTA
• Brian Lewis Pierce, D.D.S.
• Jessie Bilitz Polzin, OT
• Preferred Choice Pharmacy

• Assisted Living Facility in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.