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PHOENIX HOME CARE LLC NPI 1962793547


NPI Information

NPI: 1962793547
Provider Name: PHOENIX HOME CARE, LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
1839 E INDEPENDENCE ST STE K
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 818-3565
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PHOENIX HOME CARE, LLC is an in home supportive care in Springfield, MO. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. PHOENIX HOME CARE, LLC NPI is 1962793547. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1839 E INDEPENDENCE ST STE K
SPRINGFIELD, MO
ZIP 65804-753
Phone: (417) 818-3565

The provider's authorized official is George Scott Herman .
The authorized official title is President And Secretary and has the following contact phone number (903) 390-4040.

The enumeration date for this NPI number is 4/29/2011 and was last updated on 12/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1372500000XChore ProviderNo
2372600000XAdult CompanionNo
33747A0650XTechnicianAttendant Care ProviderNo
43747P1801XTechnicianPersonal Care AttendantNo
5376J00000XHomemakerNo
6376K00000XNurse's AideNo
7253Z00000XIn Home Supportive CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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