Active NPI
Phoenix Home Care, LLC
- Community Based Hospice Care Agency
- Saint Louis, 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
- 2088 Craigshire Rd
Saint Louis, MO 63146-4010 - Phone
- (365) 730-0376
- Fax
- (866) 352-0729
- NPI assigned
- Apr 18, 2022
- 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
- Gregory Alex Melugin
- Title
- Vice President of Operations
- Phone
- (316) 688-5511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2088 Craigshire Rd
Saint Louis, MO 63146-4010
Mailing address
3450 N Rock Rd Ste 213
Wichita, KS 67226-1352
Phone (316) 688-5511
Other practice location 1
7421 Mexico Rd
Saint Peters, MO 63376-1369
Phone (314) 205-3020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221019003034 | MO | Part A Provider - Hospice | 4183896004 | Practice locations: Saint Louis, MO |
Hospice certification: CCN 261697
- Legal name
- PHOENIX HOME CARE, LLC
- Doing business as
- PHOENIX HOME CARE AND HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 13, 2022
- Last certification
- Dec 6, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Mar 10, 2011 in MO
- Enrollment address
- 2088 Craigshire Rd
Saint Louis, MO 63146-4010
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
- Springfield, MO
- NPI 1235516618
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
- Certified
- Dec 13, 2022
- 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
- Springfield, MO
- NPI 1235516618
-
- 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
2088 Craigshire Dr
Saint Louis, MO 63146
Phone (365) 730-0376
7421 Mexico Rd
Saint Peters, MO 63376
Phone (314) 205-3020
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 | Jun 1, 2017 | |
| Jeffery S Bonham | Corporate Officer | Sep 1, 2025 | |
| Corporate Director | Mar 10, 2026 | ||
| Beth a Sjoblom | W-2 Managing Employee | Oct 1, 2024 | |
| Table Rock Acquisition Co., LLC | 5% Or Greater Indirect Ownership Interest | Oct 20, 2021 | 100% |
| Jill Lakey | W-2 Managing Employee | Sep 26, 2025 | |
| Operational/Managerial Control | Sep 26, 2025 | ||
| 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% |
| 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 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- 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
-
- 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
- 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
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666051200000",
"number": "1356084396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 N ROCK RD STE 213",
"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": "2088 CRAIGSHIRE RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464010",
"telephone_number": "365-730-0376",
"fax_number": "866-352-0729"
}
],
"practiceLocations": [
{
"address_1": "7421 Mexico Rd",
"address_purpose": "LOCATION",
"city": "Saint Peters",
"state": "MO",
"postal_code": "633761369",
"country_code": "US",
"telephone_number": "314-205-3020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PHOENIX HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A",
"authorized_official_last_name": "MELUGIN",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "ALEX",
"authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "316-688-5511"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.