PHOENIX N PEACE LLC


Address: 3297c S Crater Rd, Petersburg, VA 23805-9216
Phone: (804) 862-8810

PHOENIX N PEACE LLC (NPI# 1245750488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245750488
Entity Type Organization
Organization Name PHOENIX N PEACE LLC
Practice Address 3297c S Crater Rd
Petersburg
VA 23805-9216
Practice Telephone (804) 862-8810
Mailing Telephone 8048628810
Enumeration Date 2017-06-20
Last Update Date 2017-06-20
Authorized Official Name MS. MARILYN C NEWBY (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8048628810
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 347C00000X Private Vehicle Transportation Services

Office Location

Street Address 3297C S CRATER RD
City PETERSBURG
State VA
Zip Code 23805-9216

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134690647 Miles Viant Occupational Therapist 287 E Blvd, Petersburg, VA 23805 2018-12-10
1245756964 Dexter Shabazz Lett Registered Nurse 10543 S. Crater Rd, S. Prince George, VA 23805 2017-08-15
1891145876 Taylor Enhanced Living Counselor 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 2016-06-21
1700255205 Ina Thompson Counselor 272 Medical Park Boulevard, Petersburg, VA 23805 2015-09-15
1932582541 Valeria Edda Madrid Malo Bohorquez Internal Medicine 50 Medical Park Blvd Ste C, Petersburg, VA 23805 2015-06-30
1548642788 Justin Andrew Phillingane Podiatrist 3335 S Crater Rd Ste 500, Petersburg, VA 23805 2015-06-24
1225417082 Paladin Dermatology LLC Nurse Practitioner 44 A& B Medical Park Blvd, Petersburg, VA 23805 2015-05-27
1245652544 Family Services Inc. Health Maintenance Organization 1045 Gustavo Lane, Petersburg, VA 23805 2014-01-06
1619268075 Charlene Belangia Massage Therapist 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 2011-04-20
1760709638 Caresouth Hha Holdings of Virginia, LLC Home Health 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 2010-04-30
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Taxonomy Information

Taxonomy Code 347C00000X
Grouping Transportation Services
Classification Private Vehicle

Taxonomy Definition

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811530793 Kevin Hicks Private Vehicle 122 N Plains Dr, Petersburg, VA 23805-9110 2019-10-23
1689138414 Glenishia K Pulliam Private Vehicle 3300 Gordon Dr, Petersburg, VA 23805-2657 2019-01-25
1376049361 Richard Eugene Wolf Jr. Private Vehicle 18857 Curtis Blacktop Rd, Petersburg, IL 62675-7013 2018-03-30
1922478916 Ashleigh Renee Smith Private Vehicle 703 N 7th St, Petersburg, IL 62675-1144 2015-10-02
1083091995 Timothy Wilkins Private Vehicle 3235 Gordon Dr, Petersburg, VA 23805-2658 2015-04-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972119808 Mercy Transports LLC Private Vehicle 3212 Mechanicsville Turnpike, Mechanicsville, VA 23111 2020-09-16
1992321517 Kenneth Bell Private Vehicle 47 Gainsborough Pl, Newport News, VA 23608-2029 2020-06-19
1720601065 Tenea Latrice Walker Private Vehicle 2780 Mahixon Rd, Manquin, VA 23106-2318 2020-05-21
1649892589 Shanique Washington Private Vehicle 2247 Dellrose Dr Apt A, Hopewell, VA 23860-7205 2020-05-14
1164044103 Cornell Daniel Bailey Private Vehicle 1016 Level Green Blvd, Virginia Beach, VA 23464-4509 2020-05-13
1427684950 Michelle Denise Young Private Vehicle 1228 Golden Leaf Rd, Nathalie, VA 24577-3494 2020-03-17
1083248884 Lowell D. Evans Private Vehicle 114 Pine Shores Ln, Huddleston, VA 24104-3155 2020-03-02
1841823713 Rachel Nicole Davis Private Vehicle 529 Freeze Rd, Danville, VA 24540-2135 2020-02-19
1235762345 Michael E Shannon Private Vehicle 7928 Brown Mountain Rd, Jewell Ridge, VA 24622-8640 2020-02-17
1821621228 Marlon Reyes Private Vehicle 2500 Pump Rd, Richmond, VA 23233 2020-02-13
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Competitor

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City PETERSBURG
Zip Code 23805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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