OrganizationActive
Phoenix Primary Care LLC
NPI 1508489790 · Primary Care Clinic/Center · Palm Coast, FL
Provider details
- NPI number
- 1508489790
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Abundant Life Ministries-Hope House, Inc.
- Organization subpart
- Yes
- Authorized official
- Sandra Shank, Ceo(386) 597-2861
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
26b Office Park Dr
Palm Coast, FL 32137-3808
Phone: (386) 597-2861
Fax: (844) 272-3971
Street-level locationGet directions
Mailing address
Po Box 354925
Palm Coast, FL 32135-4925
Other names (DBA / former)
- Other name
- Abundant Life Ministries-Hope House, Inc.
Registry dates
- Enumerated
- 2020-05-21
- Last updated
- 2020-05-21
- Certified
- 2020-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.