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

Phoenix Home Care, LLC

Organization In Home Supportive Care Agency · NPI 1962793547

Phoenix Home Care, LLC is an In Home Supportive Care Agency in Springfield, Missouri. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
7
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

1839 E Independence St Ste K
Springfield, MO 65804-3753
Phone: (417) 818-3565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Chore Provider Taxonomy 372500000X
Adult Companion Taxonomy 372600000X
Attendant Care Provider Taxonomy 3747A0650X
Personal Care Attendant Taxonomy 3747P1801X
Homemaker Taxonomy 376J00000X
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1962793547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Herman — President And Secretary · (903) 390-4040
NPI enumeratedApril 29, 2011
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021
Mailing address3450 N. Rock Rd., 213 Attn: Debra Mullen, Witchita, KS 67226-1352

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