NPI age
5 years
Enumerated 2020-07-06
● Active Type 2 · Organization
Phoenix Squared, Llc
Phoenix Squared, Llc is 1 of 1784 in home supportive care organizations in Georgia.
Primary specialty
In Home Supportive Care
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Enix
Owner
Last NPPES update
2020-07-07
Source: monthly bulk 2026-05
How this organization compares
Across 1784 active in home supportive care providers in Georgia.
NPI age
5 years
≈ at median (4 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
240 Cherokee St Ne Ste 302
Marietta, GA 300601628
Mailing address
240 Cherokee St Ne Ste 302
Marietta, GA 300601628
Authorized official
Dale Enix
Owner
📞 6783540102
Specialties
-
In Home Supportive Care PrimaryAn In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 033-R-0092 | DEPARTMENT OF COMMUNITY HEALTH PRIVATE HOME CARE PROVIDER PERMIT |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Comfort Keepers of Marietta
-
Comfort Keepers of Marietta
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.