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Phenomenal Healthcare, Llc
In Home Supportive Care Agency in Jacksonville, Florida
NPI 1023603503

Phenomenal Healthcare, Llc is a In Home Supportive Care Agency based in Jacksonville, FL. Phenomenal Healthcare, Llc practices in Jacksonville, FL. The NPI Number for Phenomenal Healthcare, Llc is 1023603503 and holds a License No. (Florida).

The current practice location address for Phenomenal Healthcare, Llc is 6815 Atlantic Blvd Ste 3, Jacksonville, FL and can be reached out via phone at 904-438-5837.

Location: 6815 Atlantic Blvd Ste 3, Jacksonville, FL, 32211-8764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023603503
Provider Name
Phenomenal Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
6815 Atlantic Blvd Ste 3, Jacksonville, FL, 32211-8764
Phone Number
904-438-5837
Fax Number
Provider Enumeration Date
03/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6815 Atlantic Blvd Ste 3
City
Jacksonville
State
Florida
Zip
32211-8764
Phone Number
904-438-5837
Fax Number
person
Provider Business Mailing Address Details
Address
6815 Atlantic Blvd Ste 3
City
Jacksonville
State
Florida
Zip
32211-8764
Phone Number
904-438-5837
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
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.
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