Phoenix Residence, Inc. in Vadnais Heights - Intermediate Care Facility, Intellectual Disabilities
Phoenix Residence, Inc. - NPI 1134215700
Phoenix Residence, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Vadnais Heights, Nebraska. Phoenix Residence, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Phoenix Residence, Inc. is 1134215700. The last update date is 2008-07-01.
Phoenix Residence, Inc.'s current location address is 785 E County Road E, Vadnais Heights, Nebraska. You can contact this provider via phone number 6514869342 and fax number 6514869349. The mailing address for Phoenix Residence, Inc. is 785 E County Road E, Vadnais Heights, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Residence, Inc. |
|---|---|
| Address | 785 E County Road E, Vadnais Heights, Nebraska |
| Phone Number | 6514869342 |
| Fax Number | 6514869349 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Scott M Darlene |
| Telephone Number | 6512277655 |
NPI Number Detail
| NPI Number | 1134215700 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2008-07-01 |
Provider Mailing Address Detail
| Address | 785 E County Road E |
|---|---|
| City | Vadnais Heights |
| State | Nebraska (NE) |
| Post Code | 55127 |
| Phone Number | 6514869342 |
| Fax Number | 6514869349 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 805075 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 314045800 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Phoenix Residence, Inc. by the Centers for Medicare & Medicaid Services?
The Phoenix Residence, Inc. has been issued the NPI (National Provider Identifier) 1134215700, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Phoenix Residence, Inc.?
The Phoenix Residence, Inc. is situated at 785 E County Road E, in the city of Vadnais Heights, state of NE, with the zip code 55127.
What is Phoenix Residence, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Phoenix Residence, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.
On what date did the Phoenix Residence, Inc. receive its 1134215700 assignment from the Centers for Medicare & Medicaid Services?
The Phoenix Residence, Inc. was assigned its 1134215700 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date was the information regarding Phoenix Residence, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Phoenix Residence, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-01.