PHOENIX WINGS (NPI# 1134605363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHOENIX WINGS, CORP. | 18530 George Washington Dr, Southfield, MI 48075-2790 |
| Street Address |
2222 LOTHROP ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48206-2672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679050504 | Turner Segue Home | Foster Care Agency | 2222 Lothrop St, Detroit, MI 48206-2672 | 2018-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962094 | Reid Talley | Counselor | 12010 Elmhurst, Detroit, MI 48206 | 2018-11-30 |
| 1306330246 | Harper's Care Club, LLC | Home Health | 1732 W Bethune St Apt 4, Detroit, MI 48206 | 2018-06-14 |
| 1700210440 | Tender Loving Care Assisted Living | Custodial Care Facility | 2250 W.euclid, Detroit, MI 48206 | 2013-08-29 |
| 1063560761 | Platinum Care Pharmacy Inc. | Pharmacy | 8500 14th Street, Detroit, MI 48206 | 2007-01-08 |
| 1619067527 | Young-sims Clinic PC | Family Medicine | 9150 Linwood, Detroit, MI 48206 | 2006-10-13 |
| 1093811200 | Grace W Patterson | Family Medicine | 9150 Linwood Ave, Detroit, MI 48206 | 2006-09-15 |
| 1164437992 | Rosa Park Medical Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8665 Rosa Parks Boulavard, Detroit, MI 48206 | 2006-07-30 |
| 1336495696 | Ephraim I Onwuegbuchu | Pharmacist | 8500 14th Street, Detroit, MI 48206 | 2012-07-24 |
| 1962647552 | Jabez Recovery Management Services, Inc | Substance Abuse Rehabilitation Facility | 2755 Collingwood St, Detroit, MI 48206 | 2008-12-10 |
| 1033215918 | Robert Nmn Sims | Family Medicine | 9150 Linwood Ave, Detroit, MI 48206 | 2006-09-16 |
| Find all providers in zip 48206 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in DETROIT | ||||
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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.