PHOENIX PROVIDER SERVICES (NPI# 1659818185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659818185 |
| Entity Type | Organization |
| Organization Name | PHOENIX PROVIDER SERVICES |
| Practice Address |
113 N Stagecoach Rd Salado TX 76571-6109 |
| Mailing Address |
6213 Suellen Ln Killeen TX 76542-5479 |
| Practice Telephone | 2542203322 |
| Mailing Telephone | 2542203322 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | JAMIE BURGESS (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 2542203322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | 017609 | TX | Agencies |
| Street Address |
113 N STAGECOACH RD |
| City | SALADO |
| State | TX |
| Zip Code | 76571-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199101 | Mavon Oversight Pllc | Emergency Medicine | 340 Van Bibber, Salado, TX 76571 | 2020-09-21 |
| 1386798742 | Crdamc | Military Hospital | 1162 Shady Oaks Dr., Salado, TX 76571 | 2007-01-23 |
| 1710044250 | Douglas Barton Willingham | Dentist | 2 N. Main St., Salado, TX 76571 | 2007-01-03 |
| 1922112887 | Sheila Ann Tauferner | Nurse Practitioner | 1607 Indian Trail, Salado, TX 76571 | 2006-08-18 |
| 1770796534 | Sam W Teas | Dentist | 213 Mill Creek Dr, Suite 105, Salado, TX 76571 | 2007-05-08 |
| 1902950876 | Emily Elise Sigler | Genetic Counselor, MS | Po Box 144, Salado, TX 76571-0144 | 2007-01-22 |
| 1639189210 | Alice Harriott Cooper | Physical Therapist | 690 Rose Ln, Salado, TX 76571-0679 | 2006-08-08 |
| 1821240284 | Carol Meyer Willingham | Marriage & Family Therapist | 2 N Main St At Thomas Arnold Road, Salado, TX 76571-0767 | 2008-10-16 |
| 1194369983 | Lori K Underwood | Home Health Aide | 3110 Saint Luke St, Salado, TX 76571-2112 | 2019-11-05 |
| 1689078909 | Kathleen T Darnell | Dental Hygienist | 2200 Indian Trl, Salado, TX 76571-4917 | 2014-10-15 |
| Find all providers in zip 76571 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275794 | Tonya Comaneci Barnes | In Home Supportive Care | 812 Savannah Cv, Elgin, TX 78621-1253 | 2020-11-04 |
| 1487255733 | Providing Providers LLC | In Home Supportive Care | 2130 Alexandra Ct, Brownsville, TX 78521-7677 | 2020-11-03 |
| 1316548787 | Stephanie Rodgers | In Home Supportive Care | 938 Hawberry Heights Rd, Richmond, TX 77406-7223 | 2020-11-03 |
| 1518568922 | Dignified Care, LLC | In Home Supportive Care | 6418 Eckhert Rd Apt 3203, San Antonio, TX 78240-3097 | 2020-11-03 |
| 1093315913 | Pink Scrubs Home Health Agency LLC | In Home Supportive Care | 10815 Baucum Rd, Waxahachie, TX 75167-7614 | 2020-10-29 |
| 1164022034 | Saint Michael's Home Health Care LLC | In Home Supportive Care | 1132 Champlain Dr, Brownsville, TX 78526-1246 | 2020-10-29 |
| 1477153682 | Juan Miguel Torres | In Home Supportive Care | 745 E Saint Charles St Ste A, Brownsville, TX 78520-5219 | 2020-10-27 |
| 1518566322 | Omni Home Care Agency LLC | In Home Supportive Care | 8008 Splitrail Ct, Arlington, TX 76002-4488 | 2020-10-22 |
| 1558960724 | St Joseph's Adult Healthcare | In Home Supportive Care | 15801 Chase Hill Blvd Apt 705, San Antonio, TX 78256-1039 | 2020-10-20 |
| 1679172902 | Cam's Care LLC | In Home Supportive Care | 344 E Louisiana St, Mckinney, TX 75069-4334 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.