National Provider Identifier Database

PHOENIX HOME CARE LLC
Hospice Care, Community Based


Contact Information

PHOENIX HOME CARE, LLC
1839 E INDEPENDENCE ST STE K
SPRINGFIELD, MO65804-3753
Phone: 417-881-7442
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for PHOENIX HOME CARE, LLC

NPI Number 1235516618
Legal business name
LBN
PHOENIX HOME CARE, LLC
Authorized official GEORGE HERMAN - (PRESIDENT & SECRETARY)
Entity Organization
Organization subpart No
Enumeration date 05/05/2015
Last updated 12/10/2021 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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