Phenomenal Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHENOMENAL HEALTHCARE LLC

Practice address

704 Brownbert CT
Saint Louis, MO 63119-1302

Phone

(314) 203-9021

NPI assigned

Aug 29, 2019

Last updated

Aug 29, 2019By 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

Philippia Carter

Title

Owner

Phone

(314) 203-9021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1992353338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 BROWNBERT CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 BROWNBERT CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191302",
            "telephone_number": "314-203-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOMENAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "PHILIPPIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-203-9021"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Meredith Phelps, MD
• Kimberly J Phelps, ANP
• Patty Phelps, OT
• Alexis Pheng
• Malinda A Phenix
• Phenominal Health Services LLC
• Francisco Miled Pherez, MD
• Michael J Philbin, MSW, LMSW
• John Charles Philibert, MD
• Megan Elizabeth Philibert, MD

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.