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Phoenix Home Care Illinois, LLC

Nursing Care Agency in O Fallon, IL · enumerated 2015 · authorized official George Herman, President/Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720465834

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Registry record

Entity type Organization (Type 2)
Legal business name Phoenix Home Care Illinois, LLC
Parent organization Phoenix Home Care, Inc
Practice address 784 Wall St, Suite B, O Fallon, IL, 62269
Phone (314) 205-3020
Fax (314) 205-3031
Enumeration date Apr 28, 2015
Last updated in NPPES Dec 3, 2021

Taxonomy & classification

251J00000X Nursing Care Agency Agencies Primary

Authorized official

Name George Herman
Title President/Secretary
Phone (512) 632-7156

Other identifiers

Identifier Type State Issuer
266501303 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Phoenix Home Care Illinois, LLC?
The NPI for Phoenix Home Care Illinois, LLC is 1720465834, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Phoenix Home Care Illinois, LLC?
NPPES lists George Herman (President/Secretary) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-03.