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PHOENIX CM INCORPORATED
NPI 1306103353
Case Manager/Care Coordinator in Saint Augustine, FL

Active since April 16, 2012
52 TUSCAN WAY, STE. 202-142, SAINT AUGUSTINE, FL 32092(904) 201-9275 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Cm Incorporated NPPES

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

PHOENIX CM INCORPORATED (NPI 1306103353) is a healthcare organization registered as a case manager/care coordinator in Saint Augustine, Florida and active in the NPI registry since April 2012. The organization lists Ella B. Russell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1306103353
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NamePHOENIX CM INCORPORATED
Location Address52 TUSCAN WAY, STE. 202-142Saint Augustine, FL 32092-1850
Mailing Address52 Tuscan Way, Ste. 202-142Saint Augustine, FL 32092-1850 · (904) 201-9275
Phone(904) 201-9275
Organization SubpartNo
Authorized OfficialElla B. RussellExecutive Director · (443) 880-6124
Enumeration DateApril 16, 2012
✔ NPI 1306103353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
52 TUSCAN WAY, Saint Augustine, FL 32092
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. EDWARD TANZA JR. DC
Chiropractor
52 TUSCAN WAY, STE. 202-148
SAINT AUGUSTINE, FL 32092
St. Johns County (904) 290-1846
H & Z RENAL CARE LLC
Internal Medicine (Nephrology)
52 TUSCAN WAY, SUITE 202 #350
ST AUGUSTINE, FL 32092
St. Johns County (646) 331-7106
FLORIDA WOMAN CARE
Obstetrics & Gynecology
52 TUSCAN WAY
ST AUGUSTINE, FL 32092
St. Johns County (904) 819-1500

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 Cm Incorporated's NPI number?

The NPI number for Phoenix Cm Incorporated is 1306103353. It was assigned to this organization in the NPPES registry on April 16, 2012.

Where is Phoenix Cm Incorporated located?

Phoenix Cm Incorporated is located at 52 Tuscan Way Ste. 202-142, Saint Augustine, FL 32092. The listed phone number is (904) 201-9275.

What is Phoenix Cm Incorporated's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Cm Incorporated was last updated on April 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.