Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phoenix Home Care, LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1003382680

Phoenix Home Care, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3033 S Kansas Expy
Springfield, MO 65807-5969
Phone: (417) 881-7442
Fax: (417) 889-7442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X (MO)

Record details

NPI number1003382680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Herman — President & Secretary · (417) 838-3000
Other names Phoenix Home Care And Hospice; Phoenix Home Care And Hospice
NPI enumeratedOctober 22, 2018
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address3450 N. Rock Rd., 213, Attn: Debra Mullen, Wichita, KS 67226-1352

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