# PHOENIX HOME CARE, LLC

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

## Provider details

- **NPI number:** 1366888059
- **Legal business name:** PHOENIX HOME CARE, INC.
- **Authorized official:** GEORGE SCOTT HERMAN (PRESIDENT & SECRETARY)
- **Authorized official phone:** (417) 881-7442

## Contact information

- **Practice address:** 500 BROADWAY, JEFFERSON CITY, MO 65101-1610
- **Practice address phone:** (573) 635-3900
- **Practice address fax:** (573) 635-6297
- **Mailing address:** 3450 N. ROCK RD., WICHITA, KS 67226-1352
- **Mailing address phone:** (316) 688-5511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 853-HH | MO | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2013
- **Last updated:** 12/10/2021