# PHOENIX HOME CARE, L.L.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013928357
- **Authorized official:** DOVI WEILL (ADMINISTRATOR)
- **Authorized official phone:** (630) 321-9400

## Contact information

- **Practice address:** 15W700 N FRONTAGE RD STE 136, BURR RIDGE, IL 60527-7504
- **Practice address phone:** (630) 921-9400
- **Practice address fax:** (630) 654-5705
- **Mailing address:** 15W700 N FRONTAGE RD STE 136, BURR RIDGE, IL 60527-7504
- **Mailing address phone:** (630) 321-9400
- **Mailing address fax:** (630) 654-5705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010174 | IL | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 07/09/2023