Phoenix Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PHOENIX HOME CARE LLC

Practice address

10031 Pines Blvd Ste 215
Pembroke Pines, FL 33024-6169

Phone

(954) 668-9344

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Jade Barnes

Title

President

Phone

(954) 668-9344

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1881231769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 PINES BLVD STE 215",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 PINES BLVD STE 215",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246169",
            "telephone_number": "954-668-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-668-9344"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serge Gilbert Philips, PHYSICAL THERAPIST
• Kimberly Eileen Phillips, BCBA
• Megan Phillips
• Nichole Phillips
• Stephanie Marie Phillips, ARNP
• Phoenix Surgery Center, LLC
• Physical Medicine and Rehabilitation Consultant, LLC
• Physical Therapy and Rehab Center P a
• Physical Therapy for Healthy Living
• Physical Therapy Institute and Aquatic Rehab Inc

• In Home Supportive Care Agency in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.