Phemadex Healthcare Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

067R1324 Issued in GA

Legal business name

PHEMADEX HEALTHCARE SERVICES INC

Practice address

830 Ashland Park Way
Lawrenceville, GA 30045-6808

Phone

(770) 843-5897

Fax

(770) 544-7074

NPI assigned

Sep 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Olufemi Adeyemo

Title

Administrator

Phone

(770) 843-5897

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443225600000",
    "number": "1982074407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 ASHLAND PARK WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456808",
            "telephone_number": "770-843-5897",
            "fax_number": "770-544-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ASHLAND PARK WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456808",
            "telephone_number": "770-843-5897",
            "fax_number": "770-544-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHEMADEX HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-26",
        "last_updated": "2015-09-26",
        "status": "A",
        "authorized_official_last_name": "ADEYEMO",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-843-5897",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "067R1324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalena Phan, LMSW
• Emmeleen F Phan, MD
• Donna Marie Pharis, ED.S,CCC-SLP
• Pharmacy Investments of Lawrenceville, LLC
• Taylor Shaun Phelps, MD
• Ancy Philip, RN
• Sheena Philip
• Stacey Philip
• Caleb Phillips, RN
• Candace Mackenzie Phillips

• Home Health Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2015; 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.