Phenomenal Healthcare, LLC
NPI 1023603503 · In Home Supportive Care Agency · Jacksonville, FL
Enrolled with Medicare as Part a Provider - Home Health Agency · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phenomenal Healthcare, LLC is a In Home Supportive Care Agency organization in Jacksonville, FL (NPI 1023603503).
Provider details
- NPI number
- 1023603503
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Marlena Ellis, President/Treasurer(904) 438-5837
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Home Care for the 21st Century- Jacksonville
- Doing business as
- Home Care for the 21st Century- Jacksonville
Registry dates
- Enumerated
- 2021-03-05
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Frequently asked questions
- What is Phenomenal Healthcare, LLC's NPI number?
- Phenomenal Healthcare, LLC's National Provider Identifier (NPI) is 1023603503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phenomenal Healthcare, LLC?
- Phenomenal Healthcare, LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Phenomenal Healthcare, LLC located?
- Phenomenal Healthcare, LLC's practice location on file with NPPES is 6815 Atlantic Blvd Ste 3, Jacksonville, FL 32211-8764.
- What is Phenomenal Healthcare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Phenomenal Healthcare, LLC is (904) 438-5837.
- Does Phenomenal Healthcare, LLC accept Medicare?
- Phenomenal Healthcare, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phenomenal Healthcare, LLC?
- The authorized official listed on Phenomenal Healthcare, LLC's NPPES record is Marlena Ellis, President/Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phenomenal Healthcare, LLC's NPI active?
- Yes — Phenomenal Healthcare, LLC's NPI (1023603503) is active in the NPPES registry as of the last update on 2022-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.