OrganizationActive
Phenomenal Phoenix Enterprises, LLC
NPI 1376226514 · In Home Supportive Care Agency · Warren, MI
Phenomenal Phoenix Enterprises, LLC is a In Home Supportive Care Agency organization in Warren, MI (NPI 1376226514).
Provider details
- NPI number
- 1376226514
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dominique Jackson, Owner(313) 957-8664
Specialties & taxonomies
Agencies
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
24125 Wedgewood Cir
Warren, MI 48091-5874
Phone: (313) 957-8664
Approximate (ZIP-level) locationGet directions
Mailing address
7631 Warwick St Uppr
Detroit, MI 48228-3318
Registry dates
- Enumerated
- 2023-08-14
- Last updated
- 2023-08-14
- Certified
- 2023-08-12
Frequently asked questions
- What is Phenomenal Phoenix Enterprises, LLC's NPI number?
- Phenomenal Phoenix Enterprises, LLC's National Provider Identifier (NPI) is 1376226514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phenomenal Phoenix Enterprises, LLC?
- Phenomenal Phoenix Enterprises, LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Phenomenal Phoenix Enterprises, LLC located?
- Phenomenal Phoenix Enterprises, LLC's practice location on file with NPPES is 24125 Wedgewood Cir, Warren, MI 48091-5874.
- What is Phenomenal Phoenix Enterprises, LLC's phone number?
- The practice phone number listed in the NPPES registry for Phenomenal Phoenix Enterprises, LLC is (313) 957-8664.
- Who is the authorized official for Phenomenal Phoenix Enterprises, LLC?
- The authorized official listed on Phenomenal Phoenix Enterprises, LLC's NPPES record is Dominique Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phenomenal Phoenix Enterprises, LLC's NPI active?
- Yes — Phenomenal Phoenix Enterprises, LLC's NPI (1376226514) is active in the NPPES registry as of the last update on 2023-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.