Phazes LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PHAZES LLC

Practice address

2089 N Ridge Rd E
Lorain, OH 44055-3413

Phone

(440) 212-9883

NPI assigned

May 31, 2024

Organization subpart

No

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

Authorized official

Name

Patricia A DavisNPI 1912823097

Title

Ceo/Owner

Phone

(440) 212-9883

Specialties & licenses 1

Addresses

Other names 1

• Phazes Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia A Davis

  • Homemaker
  • Lorain, OH
  • NPI 1912823097
  NPD (past) Authorized official

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1871333286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E 32ND ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440551404",
            "telephone_number": "440-212-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 N RIDGE RD E",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440553413",
            "telephone_number": "440-212-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAZES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "440-212-9883"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phazes",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Petrick
• Chiquitta Petty
• Breyonna Faith Pfeiffer
• Huan Viet Pham, O.D.
• Pharmacy Counter LLC
• Christine Ann Phelps, PA
• Courtney M Phillips
• Edward Phillips
• Robin Phillips, LISW-S
• Rachel Pidala

• Adult Day Care Clinic/Center in Lorain, OH
• Providers in Lorain, OH by specialty
• Adult Day Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.