# PHOENIX HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHOENIX HOME CARE AND HOSPICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386057578
- **Authorized official:** MR. GEORGE SCOTT HERMAN (PRESIDENT)
- **Authorized official phone:** (316) 688-5511

## Contact information

- **Practice address:** 2088 CRAIGSHIRE RD, SAINT LOUIS, MO 63146-4010
- **Practice address phone:** (636) 695-4330
- **Practice address fax:** (636) 695-4337
- **Mailing address:** 3450 N ROCK RD STE 213, WICHITA, KS 67226-1352
- **Mailing address phone:** (316) 688-5511
- **Mailing address fax:** (636) 695-4337

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2014
- **Last updated:** 06/12/2023