PHOENIX HOUSING FOUNDATION LIMITED NPI 1194469833

NPI Information

NPI: 1194469833
Provider Name: PHOENIX HOUSING FOUNDATION, LIMITED
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
423 W CENTER ST
MILWAUKEE, WI
ZIP 53212
Phone: (262) 349-8560
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PHOENIX HOUSING FOUNDATION, LIMITED is a community based residential treatment facility mental illness in Milwaukee, WI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PHOENIX HOUSING FOUNDATION, LIMITED NPI is 1194469833. The provider is registered as an organization entity type.

The provider's business location address is:

423 W CENTER ST
MILWAUKEE, WI
ZIP 53212-724
Phone: (262) 349-8560

The provider's authorized official is Royale Dejun Reasby .
The authorized official title is Ceo and has the following contact phone number (414) 397-7926.

The enumeration date for this NPI number is 4/27/2022 and was last updated on 4/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251J00000X	Nursing Care		No
2	251S00000X	Community/Behavioral Health		No
3	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
4	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
5	311ZA0620X	Custodial Care Facility	Adult Care Home	No
6	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
7	320700000X	Residential Treatment Facility, Physical Disabilities		No
8	342000000X	Transportation Network Company		No
9	374U00000X	Home Health Aide		No
10	253Z00000X	In Home Supportive Care		No
11	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
12	261QM0850X	Clinic/Center	Adult Mental Health	No
13	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
14	310400000X	Assisted Living Facility		No
15	320800000X	Community Based Residential Treatment Facility, Mental Illness		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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