1. Home
  2. Directory
  3. Missouri
  4. Springfield
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

PHOENIX HOME CARE AND HOSPICE
NPI 1003382680
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Springfield, MO

Active since October 22, 2018CLIA Certified · 3 labs
3033 S KANSAS EXPY, SPRINGFIELD, MO 65807(417) 881-7442(417) 889-7442 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 13, 2021, Oct 22, 2018 (2 updates tracked since 2018).

About Phoenix Home Care And Hospice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX HOME CARE AND HOSPICE (NPI 1003382680) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Springfield, Missouri and active in the NPI registry since October 2018. The organization holds 3 active CLIA laboratory certificates and lists George Scott Herman, President & Secretary, as its authorized official.

NPPES Registry Identity

NPI1003382680
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePHOENIX HOME CARE, LLC
Location Address3033 S KANSAS EXPYSpringfield, MO 65807-5969
Mailing Address3450 N. Rock Rd., #213, Attn: Debra MullenWichita, KS 67226-1352 · (316) 688-5511 · Fax (417) 889-7442
Phone(417) 881-7442
Fax(417) 889-7442
Organization SubpartNo
Authorized OfficialGeorge Scott HermanPresident & Secretary · (417) 838-3000
Enumeration DateOctober 22, 2018
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1003382680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

3033 S KANSAS EXPY, Springfield, MO 65807
Open in Google Maps ↗

Other Names 1

Doing Business AsPhoenix Home Care And Hospice

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2080826

Phoenix Home Care · Wichita, KS
Active · expires Jul 14, 2028
CLIA Number17D2080826
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorAlysha Boggs
Laboratory Phone(316) 688-5511
Laboratory LocationPhoenix Home Care3450 North Rock Road, Ste 213, Wichita, KS 67226
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 17D2087399

Promises Kept, LLC Dba Phoenix Home Care & Hospice · Wichita, KS
Active · expires Nov 23, 2026
CLIA Number17D2087399
Laboratory TypeHospice
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorMallori Qualls
Laboratory Phone(316) 688-5511
Laboratory LocationPromises Kept, LLC Dba Phoenix Home Care & Hospice3450 N Rock Road, Ste 213, Wichita, KS 67226
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2026315

Phoenix Home Health Care, Inc · Springfield, MO
Active · expires Jun 27, 2027
CLIA Number26D2026315
Laboratory TypeHome Health Agency
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorHeather Massengale
Laboratory Phone(417) 881-7442
Laboratory LocationPhoenix Home Health Care, Inc1839 E Independence Ave Ste K, Springfield, MO 65804
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LISA JO MOORE NP-C
Nurse Practitioner
3033 S KANSAS EXPY
SPRINGFIELD, MO 65807
Greene County (417) 881-7442

Frequently Asked Questions

What is PHOENIX HOME CARE, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1003382680, enumerated as an "organization" on October 22, 2018.

Where is the provider located?

The provider is located at 3033 S KANSAS EXPY SPRINGFIELD, MO 65807 and the phone number is (417) 881-7442.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.