1. Home
  2. Directory
  3. Ohio
  4. Columbus
  5. Clinic Center
  6. NPI Profile

PHOENIX HEALTH LLC
NPI 1083358253
Clinic/Center - Primary Care in Columbus, OH

Active since April 25, 2022CLIA 36D2162765 · Waiver
360 S GRANT AVE, COLUMBUS, OH 43215(614) 551-4364(614) 413-3536 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Apr 25, 2022 (2 updates tracked since 2022).

About Phoenix Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX HEALTH LLC (NPI 1083358253) is a healthcare organization registered as a primary care in Columbus, Ohio and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through February 27, 2027, maintains 2 additional practice locations, and lists Burt Dhira, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083358253
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePHOENIX HEALTH LLC
Location Address360 S GRANT AVEColumbus, OH 43215-5537
Mailing Address1414 Oakland Park AveColumbus, OH 43224-3507 · (614) 389-3030 · Fax (614) 413-3536
Phone(614) 551-4364
Fax(614) 413-3536
Organization SubpartNo
Authorized OfficialBurt DhiraCeo · (614) 389-3030
Enumeration DateApril 25, 2022
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1083358253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
360 S GRANT AVE, Columbus, OH 43215
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11414 Oakland Park AveColumbus, OH 43224-3507 · Phone (614) 389-3030 · Fax (614) 413-3536
Location 21955 Ohio DrGrove City, OH 43123-4835 · Phone (614) 991-0658 · Fax (614) 413-3536

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2162765

Phoenix Health LLC · Columbus, OH
Active · expires Feb 27, 2027
CLIA Number36D2162765
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorBurt Dhira
Laboratory Phone(614) 389-3030
Laboratory LocationPhoenix Health LLC360 S Grant Avenue, Columbus, OH 43214
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES VINEY
Counselor (Addiction (Substance Use Disorder))
360 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 398-3470
BERYL AKINYI NYAMBOK CLARK
Community Health Worker
360 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 407-1243
KENNETH BROOKS
Counselor (Addiction (Substance Use Disorder))
360 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 398-3470
AARON DAVID HAMILTON
Counselor (Addiction (Substance Use Disorder))
360 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 398-3470
YVETTE MARIE TURNER
Peer Specialist
360 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 398-3470
KYRA CALISTA VAZQUEZ
Counselor (Addiction (Substance Use Disorder))
360 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 398-3470
NASHONDA SMITH-UGWU RN
Registered Nurse
360 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 743-7154
NEW HEIGHTS RECOVERY CENTER OF OHIO LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
360 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 324-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Health LLC's NPI number?

The NPI number for Phoenix Health LLC is 1083358253. It was assigned to this organization in the NPPES registry on April 25, 2022.

Where is Phoenix Health LLC located?

Phoenix Health LLC is located at 360 S Grant Ave, Columbus, OH 43215. The listed phone number is (614) 551-4364.

What is Phoenix Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Phoenix Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2162765) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phoenix Health LLC was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.