PHOENIX HOME CARE, INC. (NPI# 1881116077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881116077 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOME CARE, INC. |
| Other Organization Name | PHOENIX HOME CARE |
| Practice Address |
3033 S Kansas Expy Springfield MO 65807-5969 |
| Practice Telephone | 4178817442 |
| Practice Fax Number | 4178897442 |
| Mailing Telephone | 4178817442 |
| Mailing Fax Number | 4178897442 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |
| Authorized Official Name | MRS. SANDRA DEE KELTNER (VP OF OPERATIONS) |
| Authorized Official Telephone | 4178817442 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 267629 | MO | 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 |
| 1659610376 | Phoenix Home Care, Inc. | Home Health | 14330 E 42nd St S Ste K, Independence, MO 64055-7300 | 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 |
| 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 |
3033 S KANSAS EXPY |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336437623 | Phoenix Home Care Inc | Home Health | 3033 S Kansas Expy, Springfield, MO 65807-5969 | 2011-07-20 |
| 1821614553 | Phoenix Therapy Services, LLC | Clinic/Center | 3033 S Kansas Expy, Springfield, MO 65807-5969 | 2020-06-18 |
| 1003382680 | Phoenix Home Care, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3033 S Kansas Expy, Springfield, MO 65807-5969 | 2018-10-22 |
| 1750894366 | Phoenix Home Care Inc | Home Health | 3033 S Kansas Expy, Springfield, MO 65807-5969 | 2017-11-06 |
| 1811375868 | Phoenix Home Care, Inc | Hospice Care, Community Based | 3033 S Kansas Expy, Springfield, MO 65807-5969 | 2015-05-11 |
| 1235516618 | Phoenix Home Care Inc | Hospice Care, Community Based | 3033 S Kansas Expy, Springfield, MO 65807-5969 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| 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] |
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| 1144827791 | Bridge2 Homecare LLC | Home Health | 48 Rencelau St, Springfield, MA 01118-2032 | 2020-10-07 |
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| 1699380717 | Independent Living of Ohio, Inc | Home Health | 1610 Mitchell Blvd, Springfield, OH 45503-3416 | 2020-09-15 |
| 1215547260 | Icare Home Health Care Services LLC | Home Health | 7890 Backlick Rd Ste 234, Springfield, VA 22150-2252 | 2020-08-05 |
| 1417574112 | Mercy Home Health | Home Health | 1001 Baltimore Pike Ste 310, Springfield, PA 19064-2800 | 2020-06-29 |
| 1124642236 | Cure Home Health, LLC | Home Health | 7711 Matisse Way, Springfield, VA 22153-3433 | 2020-06-04 |
| 1508485319 | Brown & Robinson Health Care LLC | Home Health | 227 E Sunshine St Ste 121, Springfield, MO 65807-2652 | 2020-04-11 |
| 1174142053 | Holly Grove Health Care LLC | Home Health | 227 E Sunshine St Ste 6, Springfield, MO 65807-2652 | 2020-04-10 |
| 1427687805 | Good Samaritan Home Health Care Agency LLC | Home Health | 8136 Old Keene Mill Rd Ste A304, Springfield, VA 22152-1843 | 2020-04-07 |
| 1508499849 | Aan Healthcare Services Inc. | Home Health | 6820 Commercial Dr, Ste D, Springfield, VA 22151 | 2020-02-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.