Active NPI
Proactive Home Care, LLC
Doing business as Phoenix Home Care
- Home Health Agency
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- A087055
- Legal business name
- PROACTIVE HOME CARE, LLC
- Doing business as
- Phoenix Home Care
- Practice address
- 3450 N Rock Road
Building 200, Suite 213
Wichita, KS 67226-1352 - Phone
- (316) 688-5511
- Fax
- (316) 688-1081
- NPI assigned
- Apr 5, 2006
- Last updated
- Sep 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Marberry
- Title
- Cco
- Phone
- (903) 390-4040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | A087055 | KS | Primary |
Addresses
Primary practice location
3450 N Rock Road
Building 200, Suite 213
Wichita, KS 67226-1352
Mailing address
3450 N Rock Road
Building 200, Suite 213
Wichita, KS 67226-1352
Phone (316) 688-5511
Other names 1
- Phoenix Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071115000167 | KS | Part A Provider - Home Health Agency | 0840388435 | Practice locations: Hutchinson, KS; Wichita, KS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013979905. Details of each certification follow.
Home health agency certification: CCN 178012
- Legal name
- PROACTIVE HOME CARE, LLC
- Doing business as
- PHOENIX HOME CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 24, 1996
- Last certification
- Feb 1, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jan 24, 1996 in KS
- Enrollment address
- 3450 N Rock Rd
Ste 213
Wichita, KS 67226-1352
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Phoenix Home Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 24, 1996
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryMember organizations 3
Organizations listed as members of this organization in the National Provider Directory.
-
dba Phoenix Home Care & Hospice
- Community Based Hospice Care Agency
- Overland Park, KS
- NPI 1295113637
Member Of
-
dba Phoenix Home Care
- Home Health Agency
- Overland Park, KS
- NPI 1952343725
Member Of
-
dba Phoenix Home Care & Hospice
- Community Based Hospice Care Agency
- Wichita, KS
- NPI 1518273408
Member Of
Locations
144 N Oliver Ave
Wichita, KS 67208
Phone (316) 688-5511
Networks
- devoted network organization-4d06b5ed-aefa-4033-b81c-2adf126fd114
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Susan Marberry | Corporate Officer | Mar 10, 2026 | |
| Debra R Mullen | W-2 Managing Employee | Jan 1, 2017 | |
| Jeffery S Bonham | Corporate Officer | Sep 1, 2025 | |
| Corporate Director | Mar 10, 2026 | ||
| Table Rock Acquisition Co., LLC | 5% Or Greater Indirect Ownership Interest | Oct 20, 2021 | 100% |
| New Day Healthcare Intermediate LLC | 5% Or Greater Indirect Ownership Interest | Oct 20, 2021 | 100% |
| New Day Healthcare, LLC | 5% Or Greater Indirect Ownership Interest | Oct 20, 2021 | 100% |
| Anita Angstadt | W-2 Managing Employee | Jul 1, 2017 | |
| Operational/Managerial Control | Jul 1, 2017 | ||
| Phoenix Healthcare Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2013 | 100% |
| New Day Healthcare Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Oct 20, 2021 | 100% |
| Kathy Poland | Corporate Officer | Mar 10, 2026 | |
| Corporate Director | Mar 10, 2026 | ||
| Philip R Melugin | 5% Or Greater Indirect Ownership Interest | Oct 20, 2021 | 7.99% |
| Operational/Managerial Control | Oct 20, 2021 |
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Phoenix Home Care & Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jun 2, 2014 |
| Phoenix Home Care and Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Oct 20, 2021 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Phoenix Home Care & Hospice
- Community Based Hospice Care Agency
- Overland Park, KS
- NPI 1295113637
5% Or Greater Direct Ownership Interest
-
dba Phoenix Home Care & Hospice
- Community Based Hospice Care Agency
- Wichita, KS
- NPI 1518273408
5% Or Greater Direct Ownership Interest
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Phoenix Home Care & Hospice
- Community Based Hospice Care Agency
- Overland Park, KS
- NPI 1295113637
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC, Phoenix Healthcare Holdings LLC, Table Rock Acquisition Co., LLC
-
dba Phoenix Home Care
- Home Health Agency
- Overland Park, KS
- NPI 1952343725
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC, Phoenix Healthcare Holdings LLC, Table Rock Acquisition Co., LLC
-
dba Phoenix Home Care & Hospice
- Community Based Hospice Care Agency
- Wichita, KS
- NPI 1518273408
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC, Phoenix Healthcare Holdings LLC, Table Rock Acquisition Co., LLC
-
dba Compassion Hospice
- Community Based Hospice Care Agency
- Beaumont, TX
- NPI 1831391010
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC
-
dba Home Care Providers of Texas
- Home Health Agency
- Dallas, TX
- NPI 1013992692
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC
-
- Community Based Hospice Care Agency
- Valparaiso, IN
- NPI 1609280015
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC
-
dba Heritage Home Care - Las Cruces Inc
- Home Health Agency
- Las Cruces, NM
- NPI 1790657278
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC
-
dba AdvantageCare Home Health Inc
- Home Health Agency
- Hughes Springs, TX
- NPI 1346323722
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1881248441
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC
-
dba Pathfinder Home Health
- Home Health Agency
- Woodlands, TX
- NPI 1467703199
New Day Healthcare Holdings, LLC, New Day Healthcare, LLC
-
dba Pathfinder Home Health
- Home Health Agency
- Beaumont, TX
- NPI 1619782265
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC
-
- Community Based Hospice Care Agency
- Springfield, MO
- NPI 1235516618
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC, Phoenix Healthcare Holdings LLC, Table Rock Acquisition Co., LLC
Practitioners & affiliated clinicians
Affiliated clinicians 148
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Wichita, KS
- NPI 1962462523
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1013979905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 N ROCK ROAD",
"address_2": "BUILDING 200, SUITE 213",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261352",
"telephone_number": "316-688-5511",
"fax_number": "316-688-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 N ROCK ROAD",
"address_2": "BUILDING 200, SUITE 213",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261352",
"telephone_number": "316-688-5511",
"fax_number": "316-688-1081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROACTIVE HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-05",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "MARBERRY",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "CCO",
"authorized_official_telephone_number": "903-390-4040"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KS",
"license": "A087055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Phoenix Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Phoenix Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wichita, KS
- Priscilla C Nelson (Bethel House)
- Grant Pritz
- Private Healthcare Facilities
- Pro Physicians Clinic PA
- Proactive Associates, LLC (Phoenix Home Care)
- Stephanie Proctor, LMFT
- Professional Endodontics
- Professional Research Network of Kansas, LLC
- Angela M Proffitt
- Progressive Growth Counseling & Coaching, LLC
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.