PHOENIX HOME CARE, INC. (NPI# 1588996284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588996284 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOME CARE, INC. |
| Practice Address |
1635 E Highway 50 Suite 200-c Clermont FL 34711-5034 |
| Practice Telephone | 3522421004 |
| Practice Fax Number | 3522421005 |
| Mailing Telephone | 3522421004 |
| Mailing Fax Number | 3522421005 |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2012-11-06 |
| Authorized Official Name | MR. ROBERT P. GAMMONS (CEO) |
| Authorized Official Telephone | 3212867916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 299993462 | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720465834 | Phoenix Home Care, Inc. | Nursing Care | 784 Wall St, Suite B, O Fallon, IL 62269-1959 | 2015-04-28 |
| 1689913394 | Phoenix Home Care, Inc. | Home Health | 1410 I 70 Dr Sw, Suite 100, Columbia, MO 65203-2068 | 2013-02-01 |
| 1518206226 | Phoenix Home Care, Inc. | Home Health | 515a Bee Creek Rd, Branson, MO 65616-7734 | 2013-02-01 |
| 1659610376 | Phoenix Home Care, Inc. | Home Health | 14330 E 42nd St S Ste K, Independence, MO 64055-7300 | 2013-02-01 |
| 1437458437 | Phoenix Home Care, Inc. | Nursing Care | 3031 S Kansas Expy, Springfield, MO 65807-5969 | 2011-03-16 |
| 1881116077 | Phoenix Home Care, Inc. | Home Health | 3033 S Kansas Expy, Springfield, MO 65807-5969 | 2017-07-10 |
| 1366888059 | Phoenix Home Care, Inc. | Home Health | 500 Broadway, Jefferson City, MO 65101-1610 | 2013-05-21 |
| 1962793547 | Phoenix Home Care, Inc. | Chore Provider | 3031 S Kansas Expy, Springfield, MO 65807-5969 | 2011-04-29 |
| 1689903890 | Phoenix Home Care, Inc. | Home Health | 1543 Lakeland Hills Blvd, Suite 16, Lakeland, FL 33805-3246 | 2009-12-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PHOENIX HOME CARE, INC. | 271 Amherst Street, Brooklyn, New York 11235 |
| Street Address |
1635 E HIGHWAY 50 SUITE 200-C |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316236672 | Danielle Archer | Counselor | 1635 E Highway 50, Suite 200a, Clermont, FL 34711-5034 | 2011-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649804220 | Lhcg Clv, LLC | Home Health | 2400 S Highway 27 Ste 4306, Clermont, FL 34711-6818 | 2020-02-24 |
| 1063045961 | Lhcg Cliv, LLC | Home Health | 1920 Don Wickham Dr Ste 110, Clermont, FL 34711-1977 | 2020-02-19 |
| 1437707353 | Dimacare Home Health Agency Inc | Home Health | 752 W Montrose St Ste 7, Clermont, FL 34711-2122 | 2019-09-04 |
| 1982171419 | Faith Group Home Inc. | Home Health | 4548 Powderhorn Place Dr, Clermont, FL 34711-8940 | 2018-11-02 |
| 1982190823 | Kelsay Home Care, LLC | Home Health | 10702 Sandy Ridge Ave, Clermont, FL 34714-5415 | 2018-07-03 |
| 1578917894 | The Desoto Group, LLC | Home Health | 153 Nautica Mile Dr, Clermont, FL 34711-2469 | 2016-04-22 |
| 1841699329 | Accurate Home Healthcare LLC | Home Health | 345 N Highway 27, Clermont, FL 34711-2440 | 2014-08-20 |
| 1457767006 | Encompass Home Health of The Southeast, LLC | Home Health | 1635 E Hwy 50, Suite 200-c, Clermont, FL 34711-5034 | 2014-07-03 |
| 1134436850 | Housecall Home Health, LLC | Home Health | 1655 E Highway 50, Suite 202, Clermont, FL 34711-5056 | 2010-09-01 |
| 1629203914 | Caretenders Visiting Services of Gainesville, LLC | Home Health | 2400 S Highway 27 Ste D, Clermont, FL 34711 | 2009-05-15 |
| Find all providers in CLERMONT | ||||
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| 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.