Active NPI
Phoenix Home Care, LLC
Doing business as Phoenix Home Care and Hospice
- Community Based Hospice Care Agency
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PHOENIX HOME CARE, LLC
- Doing business as
- Phoenix Home Care and Hospice
- Practice address
- 14220 E 42ND St S
Independence, MO 64055-4726 - Phone
- (816) 373-7442
- NPI assigned
- May 11, 2015
- Last updated
- Dec 10, 2021
- 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
- (316) 688-5511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
14220 E 42ND St S
Independence, MO 64055-4726
Mailing address
3450 N. Rock Rd.
#213, Attn: Debra Mullen
Wichita, KS 67226-1352
Phone (316) 688-5511
Other names 1
- Phoenix Home Care and Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160107000100 | MO | Part A Provider - Hospice | 4183896004 | Practice locations: Independence, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1366820318. Details of each certification follow.
Hospice certification: CCN 261670
- Legal name
- PHOENIX HOME CARE, LLC
- Doing business as
- PHOENIX HOME CARE AND HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 26, 2016
- Last certification
- Apr 14, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Mar 10, 2011 in MO
- Enrollment address
- 14220 E 42ND St S
Independence, MO 64055-4726
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
- Saint Louis, MO
- NPI 1356084396
4183896004
-
dba Phoenix Home Care
- Home Health Agency
- Jefferson City, MO
- NPI 1366888059
4183896004
-
dba Phoenix Home Care and Hospice
- Home Health Agency
- Saint Louis, MO
- NPI 1386057578
4183896004
-
dba Phoenix Home Care & Hospice
- Community Based Hospice Care Agency
- Jefferson City, MO
- NPI 1578169231
4183896004
-
dba Phoenix Home Care
- Home Health Agency
- Independence, MO
- NPI 1659610376
4183896004
Care Compare: Hospice
Medicare Care Compare- Listed as
- Phoenix Home Care and Hospice
- Ownership
- For-Profit
- Certified
- Jul 26, 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.
-
dba Phoenix Home Care and Hoispice
- Home Health Agency
- Springfield, MO
- NPI 1750894366
-
- Community Based Hospice Care Agency
- Springfield, MO
- NPI 1235516618
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1356084396
-
dba Phoenix Home Care and Hospice
- Home Health Agency
- Saint Louis, MO
- NPI 1386057578
-
- Nursing Care Agency
- Springfield, MO
- NPI 1437458437
-
dba Phoenix Home Care & Hospice
- Community Based Hospice Care Agency
- Jefferson City, MO
- NPI 1578169231
-
- Nurse Practitioner
- Springfield, MO
- NPI 1841881869
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 | ||
| 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% |
| Christopher L Koehn | W-2 Managing Employee | Jan 1, 2021 | |
| Operational/Managerial Control | Jan 1, 2021 | ||
| Phoenix Healthcare Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2013 | |
| 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 | ||
| Debra Weber | W-2 Managing Employee | Dec 1, 2025 | |
| Operational/Managerial Control | Dec 1, 2025 |
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
- Blue Springs, MO
- NPI 1750816369
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.
-
- 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
- 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
-
dba Phoenix Home Care
- 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
-
dba Phoenix Home Care and Hospice
- 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
-
dba Phoenix Home Care & Hospice
- 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
-
dba Phoenix Home Care
- 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
-
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 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
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Harrisonville, MO
- NPI 1184691305
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639094400000",
"number": "1366820318",
"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": "14220 E 42ND ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640554726",
"telephone_number": "816-373-7442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-11",
"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": "316-688-5511"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Phoenix Home Care and Hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Phoenix Home Care and Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Independence, 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.