PHOENIX HOME CARE, INC. (NPI# 1689903890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689903890 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOME CARE, INC. |
| Practice Address |
1543 Lakeland Hills Blvd Suite 16 Lakeland FL 33805-3246 |
| Practice Telephone | 8636862005 |
| Practice Fax Number | 8636862011 |
| Mailing Telephone | 8636862005 |
| Mailing Fax Number | 8636862011 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2014-07-08 |
| Authorized Official Name | MR. ROBERT P GAMMONS (CEO PRESIDENT) |
| Authorized Official Telephone | 3212867916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 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 |
| 1588996284 | Phoenix Home Care, Inc. | Home Health | 1635 E Highway 50, Suite 200-c, Clermont, FL 34711-5034 | 2010-02-04 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PHOENIX HOME CARE, INC. | 271 Amherst Street, Brooklyn, New York 11235 |
| Street Address |
1543 LAKELAND HILLS BLVD SUITE 16 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-3246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366420606 | Lakeland Foot & Ankle Center Pa | Podiatrist | 1543 Lakeland Hills Blvd, Ste B, Lakeland, FL 33805-3246 | 2006-01-06 |
| 1972855682 | Viva Home Health Care Inc | Home Health | 1543 Lakeland Hills Blvd, Ste: 8, Lakeland, FL 33805-3246 | 2012-10-04 |
| 1710165469 | Sergio H. Vallejo M. D., P. A. | Legal Medicine | 1543 Lakeland Hills Blvd, Lakeland, FL 33805-3246 | 2008-02-05 |
| 1336189166 | Alpha Bridge Home Health, LLC | Home Health | 1543 Lakeland Hills Blvd, Suite C, Lakeland, FL 33805-3246 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| 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 |
|---|---|---|---|---|
| 1285243105 | K.c. Home Health LLC | Home Health | 6635 S Florida Ave # C-1, Lakeland, FL 33813-3354 | 2020-07-27 |
| 1184264574 | Raquelita Dejesus | Home Health | 5545 Wilmington Cir Apt 207, Lakeland, FL 33813-2769 | 2020-01-14 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1316502735 | Tabitha Leondra Bailey | Home Health | 1710 Kendrick Ln, Lakeland, FL 33805-2506 | 2019-05-01 |
| 1346708161 | Corentheia Ann Milton | Home Health | 617 W Robson St, Lakeland, FL 33805-2138 | 2019-03-11 |
| 1679044234 | Flamingo Homecare LLC | Home Health | 1215 Duncan Ave, Lakeland, FL 33801-5923 | 2018-12-07 |
| 1679066989 | Heavenly Hearts Home Care Services, LLC | Home Health | 3567 Manor Loop, Lakeland, FL 33810-1382 | 2018-06-11 |
| 1235635681 | Ariel Kyndal Fagins | Home Health | 1725 N Webster Ave, Lakeland, FL 33805-2625 | 2018-04-04 |
| 1851802284 | Sonya Branch | Home Health | 616 Emma St, Lakeland, FL 33815-1418 | 2017-10-12 |
| 1053845875 | Precious Life Care Private Duty | Home Health | 1104 Bartow Rd, Lakeland, FL 33801-5850 | 2017-04-18 |
| Find all providers in LAKELAND | ||||
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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.