Phase One Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHASE ONE CARE LLC

Practice address

1107 Long Beeches Ave
Chesapeake, VA 23320-0724

Phone

(757) 646-3709

NPI assigned

May 5, 2021

Last updated

May 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Khalilah Shabazz

Title

Administrator

Phone

(757) 646-3709

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1811571979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 LONG BEECHES AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200724",
            "telephone_number": "757-646-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 LONG BEECHES AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200724",
            "telephone_number": "757-646-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE ONE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "SHABAZZ",
        "authorized_official_first_name": "KHALILAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-646-3709",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Peyton, RN
• Penelope L Pezzella, RPH
• Yvette B Pfeffer, MD
• Kelly Phan
• Sang Hoang Phuoc Phan, PA
• Philbert H. Kuo, D.P.M.
• Renimol Philip, DNP, PMHNP-BC, BSN
• Amber Phillips
• Angela Phillips
• Angelica Phillips

• Home Health Agency in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.