Phenomenal Care Services LLC
Phenomenal Care Services LLC is a healthcare organization registered as Private Vehicle in Canton, OH, holding Type 2 (organization) NPI 1376221713 since 2023. The authorized official on file is Darryl Peterson, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376221713 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Phenomenal Care Services LLC |
| Practice address | 3040 WICKER ST NE, Canton, OH, 44721 |
| Phone | 2345211318 |
| Enumeration date | 2023-07-06 |
| Last updated in NPPES | 2023-07-06 |
Authorized official
| Name | Darryl Peterson |
|---|---|
| Title | Ceo |
| Phone | 2345211318 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251C00000X | Developmentally Disabled Services Day Training Agency | Secondary | — | — |
| 347C00000X | Private Vehicle | Primary | — | — |
Copy-ready billing details
Provider: Phenomenal Care Services LLC NPI: 1376221713 Taxonomy: 347C00000X (Private Vehicle) Address: 3040 WICKER ST NE, Canton, OH, 44721
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679117386 | Darryl Peterson | Individual | Mental Health Counselor | Canton, OH |
| 1649998808 | Natatia Peterson | Individual | Midwife | Canton, OH |
Verify this record
Cross-check NPI 1376221713 against the authoritative CMS record: view Phenomenal Care Services LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Phenomenal Care Services LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-07-06.