NPIMap

Organization Active NPI

Phoenix Home Care, LLC

  • Nursing Care Agency
  • Springfield, MO
National Provider Identifier
1437458437
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
2002014122 Issued in MO
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
Mar 16, 2011
Last updated
Dec 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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
(417) 881-7442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 2002014122 MO 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

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Home Care LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

3450 N Rock Rd
Ste 213
Wichita, KS 67226
Phone (316) 688-5511

1839 E Independence St
#K
Springfield, MO 65804
Phone (417) 881-7442

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1437458437",
    "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": [],
    "basic": {
        "organization_name": "PHOENIX HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "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": "417-881-7442"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": "2002014122",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.