PHOENIX HOME CARE, INC. (NPI# 1659610376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659610376 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOME CARE, INC. |
| Other Organization Name | PHOENIX HOME CARE |
| Practice Address |
14330 E 42nd St S Ste K Independence MO 64055-7300 |
| Practice Telephone | 4178817442 |
| Practice Fax Number | 4178897442 |
| Mailing Telephone | 4178817442 |
| Mailing Fax Number | 4178897442 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | MRS. SANDRA DEE KELTNER (ADMINISTRATOR) |
| Authorized Official Telephone | 4178817442 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOENIX HOME CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Phoenix Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720465834 | Phoenix Home Care, Inc. | Nursing Care | 784 Wall St, Suite B, O Fallon, IL 62269-1959 | 2015-04-28 |
| 1689913394 | Phoenix Home Care, Inc. | Home Health | 1410 I 70 Dr Sw, Suite 100, Columbia, MO 65203-2068 | 2013-02-01 |
| 1518206226 | Phoenix Home Care, Inc. | Home Health | 515a Bee Creek Rd, Branson, MO 65616-7734 | 2013-02-01 |
| 1437458437 | Phoenix Home Care, Inc. | Nursing Care | 3031 S Kansas Expy, Springfield, MO 65807-5969 | 2011-03-16 |
| 1588996284 | Phoenix Home Care, Inc. | Home Health | 1635 E Highway 50, Suite 200-c, Clermont, FL 34711-5034 | 2010-02-04 |
| 1881116077 | Phoenix Home Care, Inc. | Home Health | 3033 S Kansas Expy, Springfield, MO 65807-5969 | 2017-07-10 |
| 1366888059 | Phoenix Home Care, Inc. | Home Health | 500 Broadway, Jefferson City, MO 65101-1610 | 2013-05-21 |
| 1962793547 | Phoenix Home Care, Inc. | Chore Provider | 3031 S Kansas Expy, Springfield, MO 65807-5969 | 2011-04-29 |
| 1689903890 | Phoenix Home Care, Inc. | Home Health | 1543 Lakeland Hills Blvd, Suite 16, Lakeland, FL 33805-3246 | 2009-12-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PHOENIX HOME CARE, INC. | 271 Amherst Street, Brooklyn, New York 11235 |
| Street Address |
14330 E 42ND ST S STE K |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890738 | Always Loving Home Care, LLC | Home Health | 7264 Forestwood Dr, Independence, OH 44131-5259 | 2020-10-29 |
| 1427699800 | Terrace Home Health Independence, LLC | Home Health | 4721 S Cliff Ave Ste 211, Independence, MO 64055-6969 | 2019-10-07 |
| 1366922593 | Blessed By Beauty Home Health Care LLC | Home Health | 3111 S Cedar Crest Ct, Independence, MO 64057-1900 | 2018-08-16 |
| 1053897710 | Hussein A Abdirahman | Home Health | 5005 Rockside Rd Ste 600-140, Independence, OH 44131-2194 | 2018-07-16 |
| 1851887434 | Jamison Hc Agency LLC | Home Health | 7324 Valley View Dr, Independence, OH 44131-3428 | 2018-07-06 |
| 1063958809 | Alpha Care Home Health LLC | Home Health | 14825 E 42nd St S Ste 120, Independence, MO 64055-4799 | 2017-01-18 |
| 1841741949 | Ahh Cleveland Inc | Home Health | 6200 Oak Tree Blvd, Suite 150, Independence, OH 44131-6933 | 2016-10-24 |
| 1790053932 | American Homecare Management Corp. | Home Health | 20101 E Jackson Dr, Suite D, Independence, MO 64057-1956 | 2011-12-02 |
| 1356627269 | Nina Carmen Brock | Home Health | 593 Berlander Dr, Independence, KY 41051 | 2011-10-25 |
| 1649562117 | Caroline Owhoso | Home Health | 774 Stevies Trl., Independence, KY 41051-8360 | 2011-05-03 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.