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Contact Information

PHOENIX HOME CARE, LLC
14220 E 42ND ST S
INDEPENDENCE, MO64055-4726
 Phone: 816-373-7442
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for PHOENIX HOME CARE, LLC

NPI Number 1366820318
LBN Legal business name PHOENIX HOME CARE, LLC
Authorized official GEORGE HERMAN - (PRESIDENT & SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2015
Last updated 12/10/2021 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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