OrganizationActiveAccepts Medicare
Proactive Home Care, LLC
NPI 1013979905 · Home Health Agency · Wichita, KS
Enrolled with Medicare as Part a Provider - Home Health Agency · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1013979905
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Susan Marberry, Cco(903) 390-4040
- License
- A087055 (KS)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3450 N Rock Road
Building 200, Suite 213
Wichita, KS 67226-1352
Phone: (316) 688-5511
Fax: (316) 688-1081
Street-level locationGet directions
Mailing address
3450 N Rock Road
Wichita, KS 67226-1352
Other names (DBA / former)
- Doing business as
- Phoenix Home Care
- Doing business as
- Phoenix Home Care
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.