<Unavail>

LBN: Phoenix Home Care Inc
<Unavail> is an health care organization with primary practice located at 1839 E Independence St Ste K , Springfield MO 65804-3753. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Phoenix Home Care Inc can be contacted via phone (417) 881-7442, or through Melugin, Gregory Alex via phone (316) 688-5511.

Contact Information

Primary practice address
1839 E Independence St Ste K Springfield MO 65804-3753
Phone: (417) 881-7442
Fax: (417) 889-7442
Website:
Map and Directions
Authorized official contact:
Name: Melugin, Gregory Alex
Phone: (316) 688-5511

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 267629 Missouri

Profile Details

NPI number 1750894366
LBN Legal business name Phoenix Home Care Inc
DBA Doing business as <Unavail>
Authorized official Melugin, Gregory Alex
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 6th, 2017
Last updated Mar 8th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750894366 NPPES
Missouri MEDICAID 266501303

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