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CORLISS Y PHILLIPS LPN
NPI 1114597259
Adult Companion in Fort Pierce, FL

Active since June 30, 2021
1903 PLOVER AVE APT A, FORT PIERCE, FL 34949(772) 940-3736 Get Directions Write a Review

NPPES record last updated: December 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2025, Jun 30, 2021 (2 updates tracked since 2021).

About Corliss Y Phillips Lpn NPPES

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

CORLISS Y PHILLIPS LPN (NPI 1114597259) is an individual adult companion provider in Fort Pierce, Florida, licensed in Florida (234020) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1114597259
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameCORLISS Y PHILLIPSCredential: LPN
Location Address1903 PLOVER AVE APT AFort Pierce, FL 34949-3446
Mailing Address1903 Plover Ave Apt AFort Pierce, FL 34949-3446 · (772) 940-3736
Phone(772) 940-3736
Sole ProprietorYes
Enumeration DateJune 30, 2021
Last NPPES UpdateDecember 21, 20252 updates tracked since enumeration
NPPES CertifiedDecember 21, 2025
✔ NPI 1114597259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Licenses✔ Licensed in FL · 234020✔ Licensed in FL · 30212271
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 5195534 (FL)
Also ListedHome HealthTaxonomy 251E00000X · License 30212271 (FL)
Also ListedNursing CareTaxonomy 251J00000X · License PN5195534 (FL)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 30212271 (FL)
Also ListedIn Home Supportive CareTaxonomy 253Z00000X · License 234020 (FL), 30212271 (FL)
Also ListedChore ProviderTaxonomy 372500000X · License 30212271 (FL), 234020 (FL)
Also ListedHome Health AideTaxonomy 374U00000X · License 30212271 (FL)
Also ListedHomemakerTaxonomy 376J00000X · License 234020 (FL), 30212271 (FL)
1903 PLOVER AVE APT A, Fort Pierce, FL 34949
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Other Identifiers 2

Medicaid0622FL
Medicaid127040900FL

Other Providers at the Same Location NPPES

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

FOREVER LOVING HANDS, INC
Home Health
1903 PLOVER AVE APT A
FORT PIERCE, FL 34949
St. Lucie County (772) 940-3736

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 Corliss Phillips's NPI number?

The NPI number for Corliss Phillips is 1114597259. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Corliss Phillips located?

Corliss Phillips practices at 1903 Plover Ave Apt A, Fort Pierce, FL 34949. The listed phone number is (772) 940-3736.

What is Corliss Phillips's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Corliss Phillips was last updated on December 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.