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PHOENIX SKILLED NURSING AGENCY LLC
NPI 1871314211
Home Health in Suwanee, GA

Active since October 18, 2024
530 HIGHLAND STATION DR STE 3002, SUWANEE, GA 30024(470) 266-1509(470) 266-1540 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Skilled Nursing Agency Llc NPPES

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

PHOENIX SKILLED NURSING AGENCY LLC (NPI 1871314211) is a healthcare organization registered as a home health in Suwanee, Georgia and active in the NPI registry since October 2024. The organization lists Emem Udo, Owner, as its authorized official.

NPPES Registry Identity

NPI1871314211
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePHOENIX SKILLED NURSING AGENCY LLC
Location Address530 HIGHLAND STATION DR STE 3002Suwanee, GA 30024-6576
Mailing Address530 Highland Station Dr Ste 3002Suwanee, GA 30024-6576
Phone(470) 266-1509
Fax(470) 266-1540
Organization SubpartNo
Authorized OfficialEmem UdoOwner · (404) 390-5587
Enumeration DateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1871314211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
530 HIGHLAND STATION DR STE 3002, Suwanee, GA 30024
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Other Providers at the Same Location NPPES

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

NORTH GWINNETT HOSPICE SERVICES, LLC
Hospice Care, Community Based
530 HIGHLAND STATION DR STE 3002
SUWANEE, GA 30024
Gwinnett County (404) 390-5587

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 Skilled Nursing Agency LLC's NPI number?

The NPI number for Phoenix Skilled Nursing Agency LLC is 1871314211. It was assigned to this organization in the NPPES registry on October 18, 2024.

Where is Phoenix Skilled Nursing Agency LLC located?

Phoenix Skilled Nursing Agency LLC is located at 530 Highland Station Dr Ste 3002, Suwanee, GA 30024. The listed phone number is (470) 266-1509.

What is Phoenix Skilled Nursing Agency LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Skilled Nursing Agency LLC was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.