PHOENIX BEHAVIORAL HEALTH LLC (NPI# 1528561933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528561933 |
| Entity Type | Organization |
| Organization Name | PHOENIX BEHAVIORAL HEALTH LLC |
| Practice Address |
1014 Whitehead Road Ext Ewing NJ 08638-2406 |
| Practice Telephone | 6097713777 |
| Mailing Telephone | 6097713777 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | PHIL FUHRER (CFO) |
| Authorized Official Telephone | 6097713777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0532550 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764354 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste 2, Cherry Hill, NJ 08003-3195 | 2020-09-09 |
| 1144787078 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste C3, Cherry Hill, NJ 08003-3195 | 2019-02-27 |
| 1275938193 | Phoenix Behavioral Health LLC | Clinic/Center | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2014-11-04 |
| 1992267132 | Phoenix Behavioral Health LLC | Clinic/Center | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2019-04-05 |
| 1073070900 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste C3, Cherry Hill, NJ 08003-3195 | 2019-02-27 |
| 1750891990 | Phoenix Behavioral Health LLC | Pediatrics | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2017-10-02 |
| 1013427251 | Phoenix Behavioral Health LLC | Clinic/Center | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2017-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHOENIX BEHAVIORAL HEALTH LLC | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 |
| Virginia Business Entities | Phoenix Behavioral Health LLC | 6504 Woodlake Village Circle, Midlothian, Virginia 23112 |
| Street Address |
1014 WHITEHEAD ROAD EXT |
| City | EWING |
| State | NJ |
| Zip Code | 08638-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275938193 | Phoenix Behavioral Health LLC | Clinic/Center | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2014-11-04 |
| 1427611185 | Phoenix Support Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2019-04-18 |
| 1992267132 | Phoenix Behavioral Health LLC | Clinic/Center | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2019-04-05 |
| 1659869576 | Justin Dunn | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-26 |
| 1316435266 | Parizatis R Alaie | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-26 |
| 1255829263 | Alaina Chapman | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
| 1811485824 | Himie Wesley | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
| 1881182897 | Francesca Scirocco | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
| 1386132397 | Gabrielle Petosa | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
| 1356839369 | Dayna Giel | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493244 | Dungarvin New Jersey, LLC - Whitehead II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Extension, Apt 209 & 217, Ewing, NJ 08638 | 2018-10-16 |
| 1285145714 | Lifeties Inc. | Social Worker | 2205 Pennington Road, Trenton, NJ 08638 | 2017-10-24 |
| 1720502792 | Rola Behavioral Services LLC | Registered Nurse | 1676 North Olden Ave, Bldg 1, Ewing, NJ 08638 | 2017-08-01 |
| 1295264562 | Ijeoma Audrey Okpara | Behavior Technician | 67 Oak Street, Trenton, NJ 08638 | 2017-06-08 |
| 1962878736 | Meals On Wheels of Mercer County, Inc. | Home Delivered Meals | 320 Hollowbrook Drive, Ewing, NJ 08638 | 2015-08-17 |
| 1770917031 | Erica Jane Mclaughlin | Physician Assistant | 750 Bruinswick Ave, Trenton, NJ 08638 | 2013-08-22 |
| 1396013975 | Capital Health | General Acute Care Hospital | 832 Brunswick Ave., Trenton, NJ 08638 | 2011-12-09 |
| 1174800197 | Kashif Syed Anwar | Family Medicine | 1450 Parkside Ave Ste 5, Ewing, NJ 08638 | 2011-11-04 |
| 1235394578 | Neuromechanical Pain Management Associates PC | Chiropractor | 1330 Calhoun Street, Suite 2, Trenton, NJ 08638 | 2008-07-25 |
| 1861684185 | Youth Education and Transition Services | Counselor | 702 Brunswick Ave, Trenton, NJ 08638 | 2007-08-10 |
| Find all providers in zip 08638 | ||||
| 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 |
|---|---|---|---|---|
| 1629532411 | Love Always Home Health Care LLC | In Home Supportive Care | 3 Sandy Ln, Ewing, NJ 08628-2626 | 2019-01-25 |
| 1740707439 | Enable, Inc. | In Home Supportive Care | 332 Hazel Ave, Ewing, NJ 08638-3712 | 2017-08-24 |
| 1528584406 | Enable, Inc. | In Home Supportive Care | 1015 Whitehead Road Ext Apt 124, Ewing, NJ 08638-2433 | 2017-08-22 |
| 1598135071 | R A S Health Care | In Home Supportive Care | 1676 N Olden Avenue Ext, Bldg#.1, Ewing, NJ 08638-3209 | 2015-09-28 |
| 1417253725 | Comforcare for Mde Inc. | In Home Supportive Care | 1072 Parkway Ave, Ewing, NJ 08628-3002 | 2011-02-03 |
| 1689140048 | Advancing Opportunities, Inc. | In Home Supportive Care | 1005 Whitehead Road Ext Ste 1, Ewing, NJ 08638-2424 | 2018-10-23 |
| 1841784162 | Assisted Living, Inc. | In Home Supportive Care | 1015 Whitehead Road Ext, Ewing, NJ 08638-2431 | 2018-06-20 |
| 1033590070 | Senior Star Corp. Day Hab | In Home Supportive Care | 1676 N Olden Ave, Ewing, NJ 08638-3209 | 2015-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679188 | Long Island Senior Care LLC | In Home Supportive Care | 106 Elm St Apt 2, Orange, NJ 07050-4056 | 2020-11-02 |
| 1285234757 | Inclusive Home Care LLC | In Home Supportive Care | 2 Spinnaker Dr, South Amboy, NJ 08879-3438 | 2020-10-26 |
| 1730788795 | Mario Parker | In Home Supportive Care | 571 Park St, Montclair, NJ 07043-2027 | 2020-10-21 |
| 1588263693 | Fk's&r LLC | In Home Supportive Care | 393 Sanford Ave, Hillside, NJ 07205-2724 | 2020-10-20 |
| 1104424654 | Tnt Ventures, LLC | In Home Supportive Care | 15 Corporate Pl S Ste 405, Piscataway, NJ 08854-6113 | 2020-10-15 |
| 1578161634 | Trontz Enterprises LLC | In Home Supportive Care | 86 River St, Hoboken, NJ 07030-5607 | 2020-10-12 |
| 1538776950 | Sweet Influence Home Care Agency | In Home Supportive Care | 1626 Edmund Ter, Union, NJ 07083-4006 | 2020-09-29 |
| 1184231607 | Wellcare Home Care LLC | In Home Supportive Care | 1281 Valley Rd # B, Wayne, NJ 07470-7980 | 2020-09-29 |
| 1720692932 | Golden Heart Home Care LLC | In Home Supportive Care | 456 Pleasant Valley Way, West Orange, NJ 07052-2921 | 2020-09-04 |
| 1205440690 | Lois Moskowitz | In Home Supportive Care | 9 Camelot Dr, East Brunswick, NJ 08816-3621 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PHOENIX BEHAVIORAL HEALTH LLC.
| 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.