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Phenomenal Healthcare, LLC

Home health agency in Jacksonville, Florida · CCN 687208

Contact and basics

  • Address6815 Atlantic Blvd Ste 3
    Jacksonville, FL 32211
  • Phone(904) 438-5837
  • CMS certification number687208
  • Medicare-certified since08/22/2022

Who owns this home health agency

OwnerRoleShareAssociated sinceCMS type flags
GLORIA BRADLEYCORPORATE DIRECTOR25%8/21/2020
GLORIA BRADLEYW-2 MANAGING EMPLOYEE33%8/21/2020
MARLENA ELLIS5% OR GREATER DIRECT OWNERSHIP INTEREST100%8/21/2020
MARLENA ELLISCORPORATE DIRECTOR50%8/21/2020
MARLENA ELLISW-2 MANAGING EMPLOYEE34%8/21/2020
ROBERT ELLISCORPORATE DIRECTOR25%8/21/2020
ROBERT ELLISW-2 MANAGING EMPLOYEE33%8/21/2020

Source: CMS Home Health Agency All Owners file, linked to this provider through its Medicare enrollment record. Medicare's Care Compare does not present ownership in this form.

Other home health agencies in Jacksonville

All home health agencies in Jacksonville →

Where these records come from

Everything on this page is reproduced from the CMS Provider Data Catalog (July 2026 release) and, where shown, the CMS ownership and Medicare enrollment files. Nothing here is a rating or opinion of ours. If you believe a figure is wrong, email data@carerecords.org with the CCN and we verify against the official file within 5 business days.

How to cite this page: CareRecords, "Phenomenal Healthcare, LLC — home health agency records, Jacksonville, FL." Compiled from the CMS Provider Data Catalog (July 2026 release), CCN 687208. https://carerecords.org/home-health/florida/phenomenal-healthcare-llc-jacksonville/