Phoenix Home Care Illinois, LLC
Phoenix Home Care Illinois, LLC is a Nursing Care Agency in O Fallon, Illinois. Registered with an NPI since 2015.
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
784 Wall St Ste BO Fallon, IL 62269-1959
Phone: (314) 205-3020
Fax: (314) 205-3031
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Care Agency (primary) | Taxonomy 251J00000X |
|---|
Record details
| NPI number | 1720465834 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Phoenix Home Care, Inc |
| Authorized official | George Herman — President/Secretary · (512) 632-7156 |
| NPI enumerated | April 28, 2015 |
| Last updated in NPPES | December 3, 2021 |
| Certification date | December 3, 2021 |
| Mailing address | 3450 N. Rock Rd, 213 Attn Debra Mullen, Wichita, KS 67226 |
Other providers in O Fallon
-
Danielle Steffi Quinn
1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 · (618) 234-2120