Phoenix Residential Services in Sand Springs - Respite Care, Intellectual And/or Developmental Disabilities
Phoenix Residential Services - NPI 1558461657
Phoenix Residential Services is a Respite Care, Intellectual And/or Developmental Disabilities in Sand Springs, Oklahoma. Phoenix Residential Services practices all healthcare services and medical treatments related to Respite Care, Intellectual And/or Developmental Disabilities. The NPI Number for Phoenix Residential Services is 1558461657. The last update date is 2012-06-01.
Phoenix Residential Services's current location address is 20 W 2nd St, Sand Springs, Oklahoma. You can contact this provider via phone number 9182451884 and fax number 9182450749. The mailing address for Phoenix Residential Services is 20 W 2nd St, Sand Springs, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Phoenix Residential Services |
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Address | 20 W 2nd St, Sand Springs, Oklahoma |
Phone Number | 9182451884 |
Fax Number | 9182450749 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO/OWNER |
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Authorized Official Name | Toth T Lisa |
Telephone Number | 9182451884 |
NPI Number Detail
NPI Number | 1558461657 |
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Provider Enumeration Date | 2006-09-25 |
Last Updated Date | 2012-06-01 |
Provider Mailing Address Detail
Address | 20 W 2nd St |
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City | Sand Springs |
State | Oklahoma (OK) |
Post Code | 740637633 |
Phone Number | 9182451884 |
Fax Number | 9182450749 |
Provider's Primary Taxonomy Detail
Speciality | Respite Care, Intellectual And/or Developmental Disabilities |
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Taxonomy | 385Hr2060X |
Licence No | 200045930 |
Definition: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
200045930 D | OK | -- | |
200045930 B | OK | -- | |
200045930 F | OK | -- | |
200045930 G | OK | -- | |
200045930 E | OK | -- | |
200045930 A | OK | -- | |
200045930 C | OK | -- |
Post Comment/ Review Below
What is the Phoenix Residential Services's 1558461657?
The Phoenix Residential Services's NPI (National Provider Identifier) Number is 1558461657. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Phoenix Residential Services's facilities are situated?
The facilities of Phoenix Residential Services are physically located at the following address: 20 W 2Nd St, Sand Springs, OK, 740637633.
What is Phoenix Residential Services's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Phoenix Residential Services is Respite Care, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 385Hr2060X.
On what date did the Phoenix Residential Services receive its 1558461657 assignment from the Centers for Medicare & Medicaid Services?
The Phoenix Residential Services was assigned its 1558461657 by the Centers for Medicare & Medicaid Services on 2006-09-25.
As of what date was the information regarding Phoenix Residential Services, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Phoenix Residential Services, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-01.