# PHOENIX HOME CARE INC

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

## Provider details

- **NPI number:** 1750894366
- **Legal business name:** PHOENIX HOME CARE INC
- **Authorized official:** GREGORY ALEX MELUGIN (VP OF OPERATIONS)
- **Authorized official phone:** (316) 688-5511

## Contact information

- **Practice address:** 1839 E INDEPENDENCE ST STE K, SPRINGFIELD, MO 65804-3753
- **Practice address phone:** (417) 881-7442
- **Practice address fax:** (417) 889-7442
- **Mailing address:** 3033 S KANSAS EXPY, SPRINGFIELD, MO 65807-5969
- **Mailing address phone:** (417) 881-7442
- **Mailing address fax:** (417) 889-7442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 267629 | MO | Yes |

## Other

- **Enumeration date:** 11/06/2017
- **Last updated:** 03/08/2021