# PROACTIVE HOME CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROACTIVE HOME CARE, INC. DBA PHOENIX HOME CARE
- **Other names:** Phoenix Home Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003249285
- **Legal business name:** PROACTIVE HOME CARE, INC. DBA PHOENIX HOME CARE
- **Authorized official:** DEBRA MULLEN (REGULATORY)
- **Authorized official phone:** (316) 734-1420

## Contact information

- **Practice address:** 2930 SW WANAMAKER DR, 103, TOPEKA, KS 66614-4116
- **Practice address phone:** (855) 881-7442
- **Mailing address:** 2930 SW WANAMAKER DR, 103, TOPEKA, KS 66614-4116
- **Mailing address phone:** (855) 881-7442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2013
- **Last updated:** 09/16/2024