Phoenix Supported Living Inc in Hayesville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Phoenix Supported Living Inc - NPI 1740326982
Phoenix Supported Living Inc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Hayesville, North Carolina. Phoenix Supported Living Inc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Phoenix Supported Living Inc is 1740326982. The last update date is 2020-08-22.
Phoenix Supported Living Inc's current location address is 2996 Nc 69, 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, Hayesville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Supported Living Inc |
|---|---|
| Address | 2996 Nc 69, Hayesville, North Carolina |
| Phone Number | 8283891795 |
| Fax Number | 8283891658 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Nemkovich Melissa Janet |
| Telephone Number | 8283891795 |
NPI Number Detail
| NPI Number | 1740326982 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2996 Nc 69 |
|---|---|
| City | Hayesville |
| State | North Carolina (NC) |
| Post Code | 289047257 |
| Phone Number | 8283891795 |
| Fax Number | 8283891658 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 8301106 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8301106 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Phoenix Supported Living Inc?
The Phoenix Supported Living Inc has been issued the NPI (National Provider Identifier) 1740326982 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Phoenix Supported Living Inc's physical address?
The Phoenix Supported Living Inc is physically located at 2996 Nc 69, in the city of Hayesville, NC, with the postal code 289047257.
What is the Phoenix Supported Living Inc's area of specialization and corresponding taxonomy classification?
The Phoenix Supported Living Inc's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.
On what date did the Phoenix Supported Living Inc receive its 1740326982 assignment from the Centers for Medicare & Medicaid Services?
The Phoenix Supported Living Inc was assigned its 1740326982 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date were the details pertaining to Phoenix Supported Living Inc last refreshed?
The information related to the Phoenix Supported Living Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.