Organization Active NPI

Phoenix Home Health Care Inc

  • Home Health Agency
  • Hayesville, NC
National Provider Identifier
1932271335
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2890 Issued in NC
Legal business name
PHOENIX HOME HEALTH CARE INC
Practice address
2996 NC 69 S
Suite 5
Hayesville, NC 28904
Phone
(828) 389-4699
Fax
(828) 389-1658
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Tony J Schmidt
Title
Ceo
Phone
(828) 389-4699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2890 NC Primary

Addresses

Primary practice location

2996 NC 69 S
Suite 5
Hayesville, NC 28904

Mailing address

2996 NC 69 S
Suite 5
Hayesville, NC 28904
Phone (828) 389-4699

Other identifiers 2

IdentifierTypeStateIssuer
6601306MedicaidNC
3408482OtherNCCAP MEDICAID

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932271335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 NC 69 S",
            "address_2": "SUITE 5",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "28904",
            "telephone_number": "828-389-4699",
            "fax_number": "828-389-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2996 NC 69 S",
            "address_2": "SUITE 5",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "28904",
            "telephone_number": "828-389-4699",
            "fax_number": "828-389-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-389-4699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601306",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP MEDICAID",
            "identifier": "3408482",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.