Phoenix Home Care

LBN: Proactive Home Care, Llc
Phoenix Home Care is an health care organization with primary practice located at 3450 N Rock Road Building 200, Suite 213, Wichita KS 67226-1352. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Proactive Home Care, Llc can be contacted via phone (316) 688-5511, or through Herman, George Scott via phone (903) 390-4040.

Contact Information

Primary practice address
3450 N Rock Road Building 200, Suite 213 Wichita KS 67226-1352
Phone: (316) 688-5511
Fax: (316) 688-1081
Website:
Map and Directions
Authorized official contact:
Name: Herman, George Scott
Phone: (903) 390-4040

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X A087055 Kansas

Profile Details

NPI number 1013979905
LBN Legal business name Proactive Home Care, Llc
DBA Doing business as Phoenix Home Care
Authorized official Herman, George Scott
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2006
Last updated Dec 8th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013979905 NPPES
Kansas MEDICAID 100242630B
Kansas MEDICAID 100242630A
Kansas MEDICAID 100242630C

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