OrganizationActive
Phoenix Home Care Illinois, LLC
NPI 1720465834 · Nursing Care Agency · O Fallon, IL
Phoenix Home Care Illinois, LLC is a Nursing Care Agency organization in O Fallon, IL (NPI 1720465834).
Provider details
- NPI number
- 1720465834
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Parent organization
- Phoenix Home Care, Inc
- Organization subpart
- Yes
- Authorized official
- George Herman, President/Secretary(512) 632-7156
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
784 Wall St
Suite B
O Fallon, IL 62269-1959
Phone: (314) 205-3020
Fax: (314) 205-3031
Street-level locationGet directions
Mailing address
3450 N. Rock Rd
Wichita, KS 67226
Registry dates
- Enumerated
- 2015-04-28
- Last updated
- 2021-12-03
- Certified
- 2021-12-03
Frequently asked questions
- What is Phoenix Home Care Illinois, LLC's NPI number?
- Phoenix Home Care Illinois, LLC's National Provider Identifier (NPI) is 1720465834, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Home Care Illinois, LLC?
- Phoenix Home Care Illinois, LLC is classified in the NPPES registry as Nursing Care Agency (Agencies).
- Where is Phoenix Home Care Illinois, LLC located?
- Phoenix Home Care Illinois, LLC's practice location on file with NPPES is 784 Wall St, O Fallon, IL 62269-1959.
- What is Phoenix Home Care Illinois, LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Home Care Illinois, LLC is (314) 205-3020.
- Who is the authorized official for Phoenix Home Care Illinois, LLC?
- The authorized official listed on Phoenix Home Care Illinois, LLC's NPPES record is George Herman, President/Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Home Care Illinois, LLC's NPI active?
- Yes — Phoenix Home Care Illinois, LLC's NPI (1720465834) is active in the NPPES registry as of the last update on 2021-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.