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

Phoenix Home Care, LLC

Organization Home Health Agency · NPI 1366888059

Phoenix Home Care, LLC is a Home Health Agency in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2013.

Licensed in
MO
In the registry since
2013
Specialties on file
2
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

500 Broadway
Jefferson City, MO 65101-1610
Phone: (573) 635-3900
Fax: (573) 635-6297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Home Health Agency Taxonomy 251E00000X · Licence 853-HH (MO)

Record details

NPI number1366888059
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPhoenix Home Care, Inc
Authorized official George Herman — President & Secretary · (417) 881-7442
Other names Phoenix Home Care; Phoenix Home Care
NPI enumeratedMay 21, 2013
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021
Mailing address3450 N. Rock Rd., Wichita, KS 67226-1352

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