Phoenix Home Care, Llc

LBN: Phoenix Home Care, Llc
Phoenix Home Care, Llc 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 Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Phoenix Home Care, Llc can be contacted via phone (417) 881-7442, or through Herman, George Scott via phone (903) 390-4040.

Contact Information

Primary practice address
1839 E Independence St Ste K Springfield MO 65804-3753
Phone: (417) 881-7442
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Herman, George Scott
Phone: (903) 390-4040

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1841881869
LBN Legal business name Phoenix Home Care, Llc
DBA Doing business as
Authorized official Herman, George Scott
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2021
Last updated Dec 10th, 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 1841881869 NPPES
Missouri Other MA7399 MEDICARE

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