Active NPI
Phoenix Home Care, LLC
- Community Based Hospice Care Agency
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PHOENIX HOME CARE, LLC
- Practice address
- 1839 E Independence St Ste K
Springfield, MO 65804-3753 - Phone
- (417) 881-7442
- NPI assigned
- May 5, 2015
- 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
- George Scott Herman
- Title
- President & Secretary
- Phone
- (903) 390-4040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1839 E Independence St Ste K
Springfield, MO 65804-3753
Mailing address
3450 N. Rock Rd
#213, Attn: Debra Mullen
Wichita, KS 67226-1352
Phone (316) 688-5511
Other practice location 1
2613 S Main St Ste C
Joplin, MO 64804-2633
Phone (417) 680-4000
Other practice location 2
874 S Jefferson Ave
Lebanon, MO 65536-3638
Phone (417) 344-8001
Other practice location 3
800B Hwy 248 Ste B
Branson, MO 65616-3721
Phone (417) 334-0717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160107000176 | MO | Part A Provider - Hospice | 4183896004 | Practice locations: Springfield, MO; Lebanon, MO; Branson, MO; Joplin, MO |
Hospice certification: CCN 261667
- Legal name
- PHOENIX HOME CARE, LLC
- Doing business as
- PHOENIX HOME CARE AND HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 21, 2016
- Last certification
- Jun 8, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Mar 10, 2011 in MO
- Enrollment address
- 1839 E Independence St
Ste K
Springfield, MO 65804-3753
Other NPIs with the same Medicare PAC ID 8
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1356084396
4183896004
-
- Community Based Hospice Care Agency
- Independence, MO
- NPI 1366820318
4183896004
-
- Community Based Hospice Care Agency
- Jefferson City, MO
- NPI 1578169231
4183896004
Care Compare: Hospice
Medicare Care Compare- Listed as
- Phoenix Home Care and Hospice
- Ownership
- For-Profit
- Certified
- Apr 21, 2016
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Phoenix Home Care LLC
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Springfield, MO
- NPI 1467031765
-
- Home Health Agency
- Springfield, MO
- NPI 1750894366
-
- Home Health Agency
- Columbia, MO
- NPI 1689913394
-
- Home Health Agency
- Springfield, MO
- NPI 1881116077
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1356084396
-
- Community Based Hospice Care Agency
- Independence, MO
- NPI 1366820318
-
- Home Health Agency
- Jefferson City, MO
- NPI 1366888059
-
- Home Health Agency
- Saint Louis, MO
- NPI 1386057578
-
- Nursing Care Agency
- Springfield, MO
- NPI 1437458437
-
- Community Based Hospice Care Agency
- Jefferson City, MO
- NPI 1578169231
-
- Home Health Agency
- Independence, MO
- NPI 1659610376
-
- Nurse Practitioner
- Springfield, MO
- NPI 1841881869
Locations
500 Broadway
Ste A
Jefferson City, MO 65101
3033 S Kansas Expy
Springfield, MO 65807
Phone (417) 300-4064
Ownership & related parties
All disclosed owners & managing parties 12
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 | |
| Operational/Managerial Control | Oct 20, 2021 | ||
| Debra R Mullen | W-2 Managing Employee | Nov 15, 2020 | |
| Operational/Managerial Control | Nov 15, 2020 | ||
| 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% |
| Jill Lakey | W-2 Managing Employee | Apr 15, 2023 | |
| Operational/Managerial Control | Apr 15, 2023 | ||
| New Day Healthcare Intermediate LLC | 5% Or Greater Indirect Ownership Interest | Oct 20, 2021 | 100% |
| Nolan C Snider | W-2 Managing Employee | Dec 4, 2015 | |
| Operational/Managerial Control | Dec 4, 2015 | ||
| New Day Healthcare, LLC | 5% Or Greater Indirect Ownership Interest | Oct 20, 2021 | 100% |
| 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 | Jan 1, 2013 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1124007653
Operational/Managerial Control, W-2 Managing Employee
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Home Health Agency
- Springfield, MO
- NPI 1336437623
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC, Phoenix Healthcare Holdings LLC, Table Rock Acquisition Co., LLC
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1356084396
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC, Phoenix Healthcare Holdings LLC, Table Rock Acquisition Co., LLC
-
- Community Based Hospice Care Agency
- Independence, MO
- NPI 1366820318
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC, Phoenix Healthcare Holdings LLC, Table Rock Acquisition Co., LLC
-
- Home Health Agency
- Jefferson City, MO
- NPI 1366888059
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC, Phoenix Healthcare Holdings LLC, Table Rock Acquisition Co., LLC
-
- Home Health Agency
- Saint Louis, MO
- NPI 1386057578
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC, Phoenix Healthcare Holdings LLC, Table Rock Acquisition Co., LLC
-
- Community Based Hospice Care Agency
- Jefferson City, MO
- NPI 1578169231
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC, Phoenix Healthcare Holdings LLC, Table Rock Acquisition Co., LLC
-
- Home Health Agency
- Independence, MO
- NPI 1659610376
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC, Phoenix Healthcare Holdings LLC, Table Rock Acquisition Co., LLC
-
- Community Based Hospice Care Agency
- Beaumont, TX
- NPI 1831391010
New Day Healthcare Holdings, LLC, New Day Healthcare Intermediate LLC, New Day Healthcare, LLC
-
- 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
-
- 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
-
- 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
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Independence, MO
- NPI 1386476828
Affiliated clinicians 19
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Joplin, MO
- NPI 1205195138
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639094400000",
"number": "1235516618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 N. ROCK RD",
"address_2": "#213, ATTN: DEBRA MULLEN",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261352",
"telephone_number": "316-688-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 E INDEPENDENCE ST STE K",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658043753",
"telephone_number": "417-881-7442"
}
],
"practiceLocations": [
{
"address_1": "2613 S Main St Ste C",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "648042633",
"country_code": "US",
"telephone_number": "417-680-4000",
"fax_number": "417-889-7442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "874 S Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "MO",
"postal_code": "655363638",
"country_code": "US",
"telephone_number": "417-344-8001",
"fax_number": "417-344-8002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800B Hwy 248 Ste B",
"address_purpose": "LOCATION",
"city": "Branson",
"state": "MO",
"postal_code": "656163721",
"country_code": "US",
"telephone_number": "417-334-0717",
"fax_number": "417-334-1909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PHOENIX HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-05",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A",
"authorized_official_last_name": "HERMAN",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT & SECRETARY",
"authorized_official_telephone_number": "903-390-4040"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.