Phenomenal Care Services LLC
NPI 1376221713ActiveOrganization· Private Vehicle· Canton, OH
Private Vehicle in Canton, Ohio, registered in NPPES in July 2023. The authorized official on file is Darryl Wayne Peterson, Ceo.
Overview
| NPI | 1376221713 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2023 |
| Last updated in NPPES | Jul 6, 2023 |
| Certified by provider | Jul 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Private Vehicle Primary | 347C00000X | — | — |
| Day Training, Developmentally Disabled Services | 251C00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Private Vehicle providers in Canton
- 1386071504
- 1205728318
- 1467698597
- 1639894686
- 1013802347
- 1578434098
- 1558086678
- 1023863412
- 1437755089
- 1437005261
- 1669713202
- 1508256439