Phoenix Houses Of New England, Inc. in Providence - Substance Abuse Rehabilitation Facility
Phoenix Houses Of New England, Inc. - NPI 1992884787
Phoenix Houses Of New England, Inc. is a Substance Abuse Rehabilitation Facility in Providence, Rhode Island. Phoenix Houses Of New England, Inc. practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Phoenix Houses Of New England, Inc. is 1992884787. The last update date is 2021-04-09.
Phoenix Houses Of New England, Inc.'s current location address is 99 Wayland Ave, Providence, Rhode Island. You can contact this provider via phone number 4013314250 and fax number 4014215520. The mailing address for Phoenix Houses Of New England, Inc. is 99 Wayland Ave, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Houses Of New England, Inc. |
|---|---|
| Address | 99 Wayland Ave, Providence, Rhode Island |
| Phone Number | 4013314250 |
| Fax Number | 4014215520 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Mumma Peter |
| Telephone Number | 4013314250 |
NPI Number Detail
| NPI Number | 1992884787 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2021-04-09 |
Provider Mailing Address Detail
| Address | 99 Wayland Ave |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29064314 |
| Phone Number | 4013314250 |
| Fax Number | 4014215520 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 621 |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 410878 | BC RI | ||
| 9202 | RI | NHP RI | |
| 9515 | RI | NHP RI | |
| 15601000 | ME | MAINECARE | |
| 15601001 | ME | MAINECARE | |
| 203388 | BC RI | ||
| MA04867 | RI | -- | |
| 6988 | BC RI | ||
| 30766 | BC RI | ||
| 1009585 | VT | -- |
Post Comment/ Review Below
What is the Phoenix Houses Of New England, Inc.'s unique identification number?
The Phoenix Houses Of New England, Inc. has been assigned the NPI (National Provider Identifier) Number 1992884787 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Phoenix Houses Of New England, Inc.?
The Phoenix Houses Of New England, Inc. is situated at 99 Wayland Ave, in the city of Providence, state of RI, with the zip code 29064314.
What is Phoenix Houses Of New England, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Phoenix Houses Of New England, Inc.'s area of specialization is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this field of practice is 324500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992884787 to Phoenix Houses Of New England, Inc.?
The Phoenix Houses Of New England, Inc. received its 1992884787 assignment from the Centers for Medicare & Medicaid Services on 2006-11-03.
When was the information related to Phoenix Houses Of New England, Inc. most recently updated or refreshed?
The details pertaining to the Phoenix Houses Of New England, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2021-04-09.