PHOENIX HOME CARE SERVICE, INC. (NPI# 1780754390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780754390 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOME CARE SERVICE, INC. |
| Practice Address |
2302 34th St Lubbock TX 79411-1634 |
| Practice Telephone | 8067840033 |
| Practice Fax Number | 8067840603 |
| Mailing Telephone | 8067840033 |
| Mailing Fax Number | 8067840603 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-11-29 |
| Authorized Official Name | MRS. ANNETTE SCARBOROUGH (ADMINISTRATOR) |
| Authorized Official Telephone | 8067840033 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 013599 | TX | Agencies |
| Street Address |
2302 34TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79411-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801950076 | Pegasus Home Care Inc | Home Health | 2302 34th St, Lubbock, TX 79411-1634 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720291842 | Robert W.buchanan Dc Pa | Chiropractor | 1807 34th Street, Lubbock, TX 79411 | 2007-05-07 |
| 1689886319 | City of Lubbock Health Department | Clinical Medical Laboratory | 1902 Texas Ave, Lubbock, TX 79411 | 2007-05-04 |
| 1104479229 | Heartbeat Midwifery Pllc | Clinic/Center | 2409 20th St, Lubbock, TX 79411-1003 | 2019-07-17 |
| 1932448230 | Trisha Kay Green | Occupational Therapist | 2401 20th St, Lubbock, TX 79411-1003 | 2013-02-06 |
| 1033450226 | Morgan Rees | Occupational Therapist | 2401 20th St, Lubbock, TX 79411-1003 | 2013-03-13 |
| 1639419096 | Aileen Tan | Occupational Therapist | 2401 20th St, Lubbock, TX 79411-1003 | 2013-02-21 |
| 1255874749 | Marcos Junior Vallejo | Specialist/Technologist | 2418 22nd St, Lubbock, TX 79411-1010 | 2016-12-01 |
| 1962618702 | Sara Elizabeth Blakeslee | Marriage & Family Therapist | 2214 21st St Apt A, Lubbock, TX 79411-1137 | 2007-05-16 |
| 1356364814 | Maribeth Dennis | Counselor | 2421 27th St, Lubbock, TX 79411-1301 | 2006-07-25 |
| 1790805075 | Sue Key Sanders | Counselor | 2429 28th St, Lubbock, TX 79411-1305 | 2007-03-30 |
| Find all providers in zip 79411 | ||||
| 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 |
|---|---|---|---|---|
| 1184104788 | Stephanie Holfus | Home Health | 4906 93rd St, Lubbock, TX 79424-4808 | 2018-08-14 |
| 1992283691 | 806 Speech and Feeding Therapy Pllc | Home Health | 5707 77th St, Lubbock, TX 79424-2403 | 2018-08-03 |
| 1194239772 | South Plains Therapy Services, LLC | Home Health | 4806 59th St, Lubbock, TX 79414-4408 | 2017-11-19 |
| 1396263802 | Direct Senior Care Pllc | Home Health | 4512 11th St, Lubbock, TX 79416-4816 | 2017-09-05 |
| 1326324062 | Mhk Holdings, Inc | Home Health | 2505 B 79th St, Lubbock, TX 79423 | 2011-10-26 |
| 1679870463 | Abba Home Health, Lp | Home Health | 4225 85th St, Lubbock, TX 79423-1931 | 2011-02-15 |
| 1922319409 | Amedisys Texas LLC | Home Health | 3801 22nd St, Suite B-1, Lubbock, TX 79410-1113 | 2010-06-29 |
| 1457677643 | Caduceus Consulting | Home Health | 6217 Kenosha Dr, Lubbock, TX 79413-5430 | 2010-04-13 |
| 1598099848 | American Star Home Health Care Inc | Home Health | 2345 50 St Suit 301, Lubbock, TX 79412-2348 | 2009-09-18 |
| 1013145713 | City View Medical Staffing | Home Health | 3813 22nd St Ste 4c, Lubbock, TX 79410-1199 | 2009-07-01 |
| Find all providers in LUBBOCK | ||||
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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.