Organization Active NPI

Phoenix Home Care Service, Inc.

  • Home Health Agency
  • Lubbock, TX
National Provider Identifier
1780754390
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
013599 Issued in TX
Legal business name
PHOENIX HOME CARE SERVICE, INC.
Practice address
2302 34TH St
Lubbock, TX 79411-1634
Phone
(806) 784-0033
Fax
(806) 784-0603
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Mrs. Annette Scarborough, RN, BSN
Title
Administrator
Phone
(806) 784-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 013599 TX Primary

Addresses

Primary practice location

2302 34TH St
Lubbock, TX 79411-1634

Mailing address

2302 34TH St
Lubbock, TX 79411-1634
Phone (806) 784-0033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1780754390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794111634",
            "telephone_number": "806-784-0033",
            "fax_number": "806-784-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794111634",
            "telephone_number": "806-784-0033",
            "fax_number": "806-784-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME CARE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "SCARBOROUGH",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-784-0033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.