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PHOENIX PROVIDER SERVICES
NPI 1659818185
In Home Supportive Care in Salado, TX

Active since January 23, 2017
113 N STAGECOACH RD, SALADO, TX 76571(254) 220-3322 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2019, Aug 29, 2018, Jan 23, 2017 (3 updates tracked since 2017).

About Phoenix Provider Services NPPES

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

PHOENIX PROVIDER SERVICES (NPI 1659818185) is a healthcare organization registered as an in home supportive care in Salado, Texas and active in the NPI registry since January 2017. The organization lists Jamie Burgess, Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1659818185
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NamePHOENIX PROVIDER SERVICES
Location Address113 N STAGECOACH RDSalado, TX 76571-6109
Mailing Address6213 Suellen LnKilleen, TX 76542-5479 · (254) 220-3322
Phone(254) 220-3322
Organization SubpartNo
Authorized OfficialJamie BurgessAdministrator/owner · (254) 220-3322
Enumeration DateJanuary 23, 2017
Last NPPES UpdateJanuary 28, 20193 updates tracked since enumeration
✔ NPI 1659818185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License✔ Licensed in TX · 017609
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.
113 N STAGECOACH RD, Salado, TX 76571
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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 Phoenix Provider Services's NPI number?

The NPI number for Phoenix Provider Services is 1659818185. It was assigned to this organization in the NPPES registry on January 23, 2017.

Where is Phoenix Provider Services located?

Phoenix Provider Services is located at 113 N Stagecoach Rd, Salado, TX 76571. The listed phone number is (254) 220-3322.

What is Phoenix Provider Services'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 Phoenix Provider Services was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.