Phoenix Primary Care LLC
Phoenix Primary Care LLC is a healthcare organization registered as Primary Care Clinic/Center in Palm Coast, FL, holding Type 2 (organization) NPI 1508489790 since 2020. The authorized official on file is Sandra Shank, Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1508489790 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Phoenix Primary Care LLC |
| Parent organization | Abundant Life Ministries-Hope House, Inc. |
| Practice address | 26B OFFICE PARK DR, Palm Coast, FL, 32137 |
| Phone | 3865972861 |
| Fax | 8442723971 |
| Enumeration date | 2020-05-21 |
| Last updated in NPPES | 2020-05-21 |
Authorized official
| Name | Sandra Shank |
|---|---|
| Title | Ceo |
| Phone | 3865972861 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Phoenix Primary Care LLC NPI: 1508489790 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 26B OFFICE PARK DR, Palm Coast, FL, 32137
Verify this record
Cross-check NPI 1508489790 against the authoritative CMS record: view Phoenix Primary Care 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
What is a Type 2 NPI?
What type of organization is Phoenix Primary Care LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-05-21.