Phoenix Supported Living Inc in Hayesville - Community Based Residential Treatment Facility, Mental Illness
Phoenix Supported Living Inc - NPI 1912052085
Phoenix Supported Living Inc is a Community Based Residential Treatment Facility, Mental Illness in Hayesville, North Carolina. Phoenix Supported Living Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Phoenix Supported Living Inc is 1912052085. 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 | 1912052085 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| 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 | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 8300927 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8300927 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Phoenix Supported Living Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Phoenix Supported Living Inc has been assigned the NPI (National Provider Identifier) 1912052085. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Phoenix Supported Living Inc's facilities are situated?
The facilities of Phoenix Supported Living Inc are physically located at the following address: 2996 Nc 69, Hayesville, NC, 289047257.
What is Phoenix Supported Living Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Phoenix Supported Living Inc is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that categorizes this field of expertise is 320800000X.
On what date did the Phoenix Supported Living Inc receive the assignment of its 1912052085 from the Centers for Medicare & Medicaid Services?
The Phoenix Supported Living Inc was issued its 1912052085 by the Centers for Medicare & Medicaid Services on 2007-01-25.
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.
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