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PHOENIX HOME CARE
NPI 1366888059
Home Health in Jefferson City, MO

Active since May 21, 2013CLIA 26D1081202 · Waiver
3/5
Patient Care Rating
500 BROADWAY, JEFFERSON CITY, MO 65101(573) 635-3900(573) 635-6297 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phoenix Home Care NPPES

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

PHOENIX HOME CARE (NPI 1366888059) is a healthcare organization registered as a home health in Jefferson City, Missouri and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists George Scott Herman, President & Secretary, as its authorized official.

NPPES Registry Identity

NPI1366888059
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePHOENIX HOME CARE, LLC
Location Address500 BROADWAYJefferson City, MO 65101-1610
Mailing Address3450 N. Rock Rd.Wichita, KS 67226-1352 · (316) 688-5511
Phone(573) 635-3900
Fax(573) 635-6297
Organization SubpartYesParent: Phoenix Home Care, Inc.
Authorized OfficialGeorge Scott HermanPresident & Secretary · (417) 881-7442
Enumeration DateMay 21, 2013
Last NPPES UpdateDecember 10, 2021
NPPES CertifiedDecember 10, 2021
✔ NPI 1366888059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MO · 853-HH
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
500 BROADWAY, Jefferson City, MO 65101
Open in Google Maps ↗

Other Names 1

Doing Business AsPhoenix Home Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix Home Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20131204000699Part A · Home Health AgencyDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

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 26D1081202

Phoenix Home Care · Jefferson City, MO
Active · expires Mar 11, 2028
CLIA Number26D1081202
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorKatie Irwin
Laboratory Phone(573) 635-3900
Laboratory LocationPhoenix Home Care500 Broadway, Jefferson City, MO 65101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Phoenix Home Care (CMS certification number 267597), from CMS Care Compare.

Phoenix Home Care

Home health agency · Jefferson City, MO
3.5/5 Quality of Patient Care
OwnershipProprietary
CMS Certification Number267597
Medicare-Certified SinceSeptember 9, 2005
Phone(573) 635-3900
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services

Patient Care Measures

Patients whose home health care began in a timely manner
99.8%
Patients who got better at walking or moving around
75.4%
Patients who got better at getting in and out of bed
90%
Patients who got better at bathing
85.8%
Patients whose breathing improved
90.6%
Patients who got better at taking their drugs correctly by mouth
84.2%
Patients checked for a flu shot for the current season
71.1%
Physician-recommended actions on medication issues completed on time
99.6%
Patients with a functional assessment and care plan at admission and discharge
98.9%
Patients experiencing one or more falls with major injury
Lower rates are better for this measure.
1.5%
New or worsened pressure ulcers or injuries (skin integrity)
Lower rates are better for this measure.
1%
Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
305 of 420 patient episodes · observed rate 72.62%
78.83% Same As National Rate
Potentially preventable hospital readmissions after discharge
276 patient stays · observed rate 5.43%
Lower rates are better for this measure.
4.29% Same As National Rate
Medicare spending per episode of care, relative to the national average
1.00 = national average per episode of care · based on 509 episodes
0.98
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES

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

PHOENIX HOME CARE, LLC
Hospice Care, Community Based
500 BROADWAY
JEFFERSON CITY, MO 65101
Cole County (573) 635-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Home Care, LLC's NPI number?

The NPI number for Phoenix Home Care, LLC is 1366888059. It was assigned to this organization in the NPPES registry on May 21, 2013. The provider is doing business as Phoenix Home Care.

Where is Phoenix Home Care, LLC located?

Phoenix Home Care, LLC is located at 500 Broadway, Jefferson City, MO 65101. The listed phone number is (573) 635-3900.

What is Phoenix Home Care, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Phoenix Home Care, LLC enrolled in Medicare?

Yes. Phoenix Home Care, LLC is registered in the Medicare PECOS enrollment system.

When is Phoenix Home Care, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Missouri, Home Health Agency) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Phoenix Home Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1081202) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Phoenix Home Care, LLC a Medicare-certified home health agency?

Yes. Phoenix Home Care is a Medicare-certified home health agency, certified since September 9, 2005.

What quality rating does Phoenix Home Care, LLC have?

CMS rates Phoenix Home Care 3.5 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

What insurance does Phoenix Home Care, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Phoenix Home Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Home Care, LLC was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.