MEDICARE: PHOENIX HOME CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1235516618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHOENIX HOME CARE, LLC

Provider Business Mailing Address
First Line	:	3450 N. ROCK RD
Second Line	:	#213, ATTN: DEBRA MULLEN
City	:	WICHITA
State	:	KS
Zip	:	67226-1352
Country	:	US
Telephone Number	:	316-688-5511
Fax Number	:

Provider Business Practice Location Address
First Line	:	1839 E INDEPENDENCE ST STE K
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-3753
Country	:	US
Telephone Number	:	417-881-7442
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & SECRETARY
Name	:	GEORGE SCOTT HERMAN
Credential	:
Telephone Number	:	903-390-4040

Provider Enumeration Date	:	05/05/2015
Last Update Date	:	12/10/2021

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1386591923 — SELAH WELLNESS, LLC
Practice Location Address:

1839B E INDEPENDENCE ST
SPRINGFIELD, MO
65804-3753

Practice Phone: 417-216-0257
Practice Fax:

1427980200 — MR. TROY FROESCHLE DPT
Practice Location Address:

1839 E INDEPENDENCE ST STE R
SPRINGFIELD, MO
65804-3753

Practice Phone: 417-708-5174
Practice Fax: 417-708-8837

1437458437 — PHOENIX HOME CARE, LLC
Practice Location Address:

1839 E INDEPENDENCE ST STE K
SPRINGFIELD, MO
65804-3753

Practice Phone: 417-881-7442
Practice Fax:

1962793547 — PHOENIX HOME CARE, LLC
Practice Location Address:

1839 E INDEPENDENCE ST STE K
SPRINGFIELD, MO
65804-3753

Practice Phone: 417-818-3565
Practice Fax:

1336437623 — PHOENIX HOME CARE, LLC
Practice Location Address:

1839 E INDEPENDENCE ST STE K
SPRINGFIELD, MO
65804-3753

Practice Phone: 417-881-7442
Practice Fax: 417-889-7442

Directions to “PHOENIX HOME CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.