Proactive Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROACTIVE HOME CARE, INC.

Practice address

2930 SW Wanamaker Dr
103
Topeka, KS 66614-4116

Phone

(855) 881-7442

NPI assigned

Aug 12, 2013

Organization subpart

Yes

Parent organization

PROACTIVE HOME CARE, INC. DBA PHOENIX HOME CAREAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra Mullen

Title

Regulatory

Phone

(316) 734-1420

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Home Care Doing business as

Part of

Proactive Home Care LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1003249285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 SW WANAMAKER DR",
            "address_2": "103",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144116",
            "telephone_number": "855-881-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 SW WANAMAKER DR",
            "address_2": "103",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144116",
            "telephone_number": "855-881-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HOME CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROACTIVE HOME CARE, INC. DBA PHOENIX HOME CARE",
        "enumeration_date": "2013-08-12",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "REGULATORY",
        "authorized_official_telephone_number": "316-734-1420"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Denise Pridgett, M.D.
• Ruth Prieb
• Priti Lakhani, DPM, PA
• Susan Z Privoznik, APRN
• Pro T Med, LLC
• Dennis T Prochazka
• Heidi Marie Prockish, MSN, APRN, FNP-C
• Professional Behavioral Health Medicine
• Professional Hearing Aid Associates Inc
• Professional Medical Associates, Inc.

• Home Health Agency in Topeka, KS
• Providers in Topeka, KS by specialty
• Home Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.