Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phenomenal Phoenix Enterprises, LLC

Organization In Home Supportive Care Agency · NPI 1376226514

Phenomenal Phoenix Enterprises, LLC is an In Home Supportive Care Agency in Warren, Michigan. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24125 Wedgewood Cir
Warren, MI 48091-5874
Phone: (313) 957-8664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1376226514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominique Jackson — Owner · (313) 957-8664
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 12, 2023
Mailing address7631 Warwick St Uppr, Detroit, MI 48228-3318

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