Organization Active NPI

New Phoenix LLC.

  • In Home Supportive Care Agency
  • Wilson, NC
National Provider Identifier
1730931882
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NEW PHOENIX LLC.
Practice address
127 Goldsboro St S Ste 212
Wilson, NC 27893-4903
Phone
(252) 294-8408
NPI assigned
Apr 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Felicia Hyden
Title
Director
Phone
(252) 294-8408

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Respite Care 385H00000X

Addresses

Primary practice location

127 Goldsboro St S Ste 212
Wilson, NC 27893-4903

Mailing address

PO Box 335
Black Creek, NC 27813-0335
Phone (252) 294-8408

National Provider Directory

National Provider Directory

Locations

127 Goldsboro St S
Ste 212
Wilson, NC 27893
Phone (252) 294-8408

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1730931882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "BLACK CREEK",
            "state": "NC",
            "postal_code": "278130335",
            "telephone_number": "252-294-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 GOLDSBORO ST S STE 212",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934903",
            "telephone_number": "252-294-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PHOENIX LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "HYDEN",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-294-8408"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.