Organization
PHOENIX HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE SCOTT HERMAN (PRESIDENT AND SECRETARY)
(903) 390-4040
Entity
Organization
Contact information
Practice address
1839 E INDEPENDENCE ST STE K, SPRINGFIELD, MO 65804-3753
(417) 818-3565
Mailing address
3450 N. ROCK RD., #213 ATTN: DEBRA MULLEN, WITCHITA, KS 67226-1352
(316) 688-5511
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/29/2011
Last updated
12/10/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us