Phoenix Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHOENIX HOME CARE, INC.

Practice address

1543 Lakeland Hills Blvd
Suite 16
Lakeland, FL 33805-3246

Phone

(863) 686-2005

Fax

(863) 686-2011

NPI assigned

Dec 17, 2009

Organization subpart

No

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

Phone

(321) 286-7916

Specialties & licenses 1

Addresses

Locations

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": "1689903890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 LAKELAND HILLS BLVD",
            "address_2": "SUITE 16",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053246",
            "telephone_number": "863-686-2005",
            "fax_number": "863-686-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 LAKELAND HILLS BLVD",
            "address_2": "SUITE 16",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053246",
            "telephone_number": "863-686-2005",
            "fax_number": "863-686-2011"
        }
    ],
    "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",
        "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": []
}

• Phillips Salomon & Parrish PA
• Phillips Salomon & Parrish PA
• Kenneth Phillips, MD
• Paul Bruce Phillips, MD
• Leah D Philpot, APRN
• Ashley Amelia Piazza, CRNA
• Dominic Piazza, PT, DPT
• Martha Jean Pickard, ARNP
• Brandy Pickett
• Monica Picon, PTA

• Home Health Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Home Health Agency in Florida

• 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.