PHENOMENAL PHOENIX ENTERPRISES, LLC
NPI 1376226514
In Home Supportive Care in Warren, MI

Q: What is Phenomenal Phoenix Enterprises, LLC's NPI number?

The NPI number for Phenomenal Phoenix Enterprises, LLC is 1376226514. It was assigned to this organization in the NPPES registry on August 14, 2023.

Q: What is Phenomenal Phoenix Enterprises, LLC's specialty?

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

Active since August 14, 2023

24125 WEDGEWOOD CIR, WARREN, MI 48091(313) 957-8664 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phenomenal Phoenix Enterprises, Llc NPPES

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

PHENOMENAL PHOENIX ENTERPRISES, LLC (NPI 1376226514) is a healthcare organization registered as an in home supportive care in Warren, Michigan and active in the NPI registry since August 2023. The organization lists Dominique Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1376226514

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NamePHENOMENAL PHOENIX ENTERPRISES, LLC

Location Address24125 WEDGEWOOD CIRWarren, MI 48091-5874

Mailing Address7631 Warwick St UpprDetroit, MI 48228-3318

Phone(313) 957-8664

Organization SubpartNo

Authorized OfficialDominique JacksonOwner · (313) 957-8664

Enumeration DateAugust 14, 2023

NPPES CertifiedAugust 12, 2023

✔ NPI 1376226514 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.

24125 WEDGEWOOD CIR, Warren, MI 48091

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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 Phoenix Enterprises, LLC's NPI number?

The NPI number for Phenomenal Phoenix Enterprises, LLC is 1376226514. It was assigned to this organization in the NPPES registry on August 14, 2023.

Where is Phenomenal Phoenix Enterprises, LLC located?

Phenomenal Phoenix Enterprises, LLC is located at 24125 Wedgewood Cir, Warren, MI 48091. The listed phone number is (313) 957-8664.

What is Phenomenal Phoenix Enterprises, 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 Phoenix Enterprises, LLC was last updated on August 14, 2023. 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.