Provider Demographics
NPI:1366298549
Name:PHCS, LLC
Entity type:Organization
Organization Name:PHCS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MNGR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:NIEVES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:407-459-0785
Mailing Address - Street 1:478 E ALTAMONTE DR STE 108
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4622
Mailing Address - Country:US
Mailing Address - Phone:407-459-0785
Mailing Address - Fax:
Practice Address - Street 1:258 E ALTAMONTE DR STE 2000
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4332
Practice Address - Country:US
Practice Address - Phone:321-280-3949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-27
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No174200000XOther Service ProvidersMealsGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335G00000XSuppliersMedical Foods Supplier
No342000000XTransportation ServicesTransportation Network Company
No347E00000XTransportation ServicesTransportation Broker