Organization
PHOENIX HOME CARE INC
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
Legal business name
PHOENIX HOME CARE INC
Authorized official
GREGORY ALEX MELUGIN (VP OF OPERATIONS)
(316) 688-5511
Entity
Organization
Contact information
Practice address
1839 E INDEPENDENCE ST STE K, SPRINGFIELD, MO 65804-3753
(417) 881-7442
(417) 889-7442
Mailing address
3033 S KANSAS EXPY, SPRINGFIELD, MO 65807-5969
(417) 881-7442
(417) 889-7442
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
267629
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266501303
—
MO
Enumeration date
11/06/2017
Last updated
03/08/2021
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