Healthcare Provider Details

I. General information

NPI: 1811832215
Provider Name (Legal Business Name): PHOENIX RISES HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 CASTING SPRINGS WAY
SPRING TX
77373-7962
US

IV. Provider business mailing address

1038 CASTING SPRINGS WAY
SPRING TX
77373-7962
US

V. Phone/Fax

Practice location:
  • Phone: 832-216-5995
  • Fax:
Mailing address:
  • Phone: 832-216-5995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. TONIKA N WASHINGTON
Title or Position: CEO
Credential: CNA
Phone: 832-216-5995