Phoenix Supported Living Inc in Hayesville - Assisted Living, Mental Illness
Phoenix Supported Living Inc - NPI 1033298864
Phoenix Supported Living Inc is a Assisted Living, Mental Illness in Hayesville, North Carolina. Phoenix Supported Living Inc practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Phoenix Supported Living Inc is 1033298864. The last update date is 2020-08-22.
Phoenix Supported Living Inc's current location address is 2996 Nc 69 S, Hayesville, North Carolina. You can contact this provider via phone number 8283891795 and fax number 8283891658. The mailing address for Phoenix Supported Living Inc is 2996 Nc 69 S, Hayesville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Supported Living Inc |
|---|---|
| Address | 2996 Nc 69 S, Hayesville, North Carolina |
| Phone Number | 8283891795 |
| Fax Number | 8283891658 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Schmidt J Tony |
| Telephone Number | 8283891795 |
NPI Number Detail
| NPI Number | 1033298864 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2996 Nc 69 S |
|---|---|
| City | Hayesville |
| State | North Carolina (NC) |
| Post Code | 28904 |
| Phone Number | 8283891795 |
| Fax Number | 8283891658 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff w |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7804847 | NC | -- | |
| 8300648 | NC | -- | |
| 8300925 | NC | -- | |
| 7804651 | NC | -- | |
| 7805099 | NC | -- | |
| 8300971 | NC | -- | |
| 3409428 | NC | -- | |
| 8300926 | NC | -- | |
| 8300927 | NC | -- | |
| 8301106 | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Phoenix Supported Living Inc by the Centers for Medicare & Medicaid Services?
The Phoenix Supported Living Inc has been issued the NPI (National Provider Identifier) 1033298864. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Phoenix Supported Living Inc is physically located?
The Phoenix Supported Living Inc is physically situated at the following address: 2996 Nc 69 S, Hayesville, NC, 28904.
What is the Phoenix Supported Living Inc's specialty and taxonomy code?
The Phoenix Supported Living Inc's specialty is Assisted Living, Mental Illness, and the corresponding taxonomy code is 3104A0625X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033298864 to Phoenix Supported Living Inc?
The Centers for Medicare & Medicaid Services assigned the 1033298864 to Phoenix Supported Living Inc on 2006-11-03.
When was the information pertaining to Phoenix Supported Living Inc most recently updated or revised?
The details related to Phoenix Supported Living Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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