PHOENIX WINGS


Address: 2222 Lothrop St, Detroit, MI 48206-2672
Phone: 3135740795

PHOENIX WINGS (NPI# 1134605363) 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) 1134605363
Entity Type Organization
Organization Name PHOENIX WINGS
Practice Address 2222 Lothrop St
Detroit
MI 48206-2672
Mailing Address 18701 Grand River Ave Ste 207
Detroit
MI 48223-2214
Practice Telephone 3135740795
Practice Fax Number 3135575129
Mailing Telephone 3135740795
Mailing Fax Number 3135575129
Enumeration Date 2018-07-11
Last Update Date 2018-07-11
Authorized Official Name GWENDOLYN TURNER (OWNER)
Authorized Official Telephone 3135740795
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253Z00000X In Home Supportive Care Agencies

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PHOENIX WINGS, CORP. 18530 George Washington Dr, Southfield, MI 48075-2790

Office Location

Street Address 2222 LOTHROP ST
City DETROIT
State MI
Zip Code 48206-2672

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679050504 Turner Segue Home Foster Care Agency 2222 Lothrop St, Detroit, MI 48206-2672 2018-07-24

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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588285001 Kadeidra Woods In Home Supportive Care 18709 Albion St, Detroit, MI 48234-3701 2020-05-06
1497375547 Continuum Loving Care, LLC In Home Supportive Care 16724 Saint Marys St, Detroit, MI 48235-3653 2020-04-19
1225670656 Veronica Louise Williams In Home Supportive Care 7601 E Jefferson Ave Apt 512, Detroit, MI 48214-3720 2019-10-17
1386298438 Jewels Home Health Care Service, LLC In Home Supportive Care 14005 Roselawn St, Detroit, MI 48238-2469 2019-07-27
1154974541 Tracie's Loving Touch Senior Services LLC In Home Supportive Care 18273 Lenore, Detroit, MI 48219-3046 2019-07-24
1477105369 Cam Fam Community Care LLC In Home Supportive Care 16718 Vaughan St, Detroit, MI 48219-3356 2019-07-11
1326500547 Averies Care Services LLC In Home Supportive Care 18717 Schaefer Hwy, Detroit, MI 48235-1767 2019-04-05
1962985598 Delanie House LLC In Home Supportive Care 9530 Chatham, Detroit, MI 48239-1306 2018-09-10
1427536226 Imperial Jewelry By Ellice, Inc In Home Supportive Care 13704 Keal St # 101, Detroit, MI 48227-3019 2018-08-02
1871081216 Three Queens Home Health Care LLC In Home Supportive Care 13606 Asbury Park, Detroit, MI 48227-1330 2018-05-01
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Competitor

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City DETROIT
Zip Code 48206

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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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