PHENOMENAL HOME CARE LLC
NPI 1194570044
In Home Supportive Care in Knightdale, NC

Q: What is Phenomenal Home Care LLC's NPI number?

The NPI number for Phenomenal Home Care LLC is 1194570044. It was assigned to this organization in the NPPES registry on April 23, 2024.

Q: What is Phenomenal Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since April 23, 2024

105 ONYX LN, KNIGHTDALE, NC 27545(252) 955-7893 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Phenomenal Home Care Llc NPPES

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

PHENOMENAL HOME CARE LLC (NPI 1194570044) is a healthcare organization registered as an in home supportive care in Knightdale, North Carolina and active in the NPI registry since April 2024. The organization lists Alicia Carter Lyons, Director, as its authorized official.

NPPES Registry Identity

NPI1194570044

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NamePHENOMENAL HOME CARE LLC

Location Address105 ONYX LNKnightdale, NC 27545-7873

Mailing Address105 Onyx LnKnightdale, NC 27545-7873 · (252) 955-7893

Phone(252) 955-7893

Organization SubpartNo

Authorized OfficialAlicia Carter LyonsDirector · (252) 955-7893

Enumeration DateApril 23, 2024

NPPES CertifiedApril 23, 2024

✔ NPI 1194570044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

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.

105 ONYX LN, Knightdale, NC 27545

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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 Phenomenal Home Care LLC's NPI number?

The NPI number for Phenomenal Home Care LLC is 1194570044. It was assigned to this organization in the NPPES registry on April 23, 2024.

Where is Phenomenal Home Care LLC located?

Phenomenal Home Care LLC is located at 105 Onyx Ln, Knightdale, NC 27545. The listed phone number is (252) 955-7893.

What is Phenomenal Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Phenomenal Home Care LLC was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.