PHOENIX HOME FOR BOYS NPI 1588855787

NPI Information

  • NPI: 1588855787
  • Provider Name: PHOENIX HOME FOR BOYS
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 117 WILLIAM PARKS LN
    MORGANTON, NC
    ZIP 28655
  • Phone: (828) 584-1589

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NPI Details

PHOENIX HOME FOR BOYS is a residential treatment facility emotionally disturbed children in Morganton, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. PHOENIX HOME FOR BOYS NPI is 1588855787. The provider is registered as an organization entity type.

The provider's business location address is:

117 WILLIAM PARKS LN
MORGANTON, NC
ZIP 28655-173
Phone: (828) 584-1589
Fax: (828) 584-1589

The provider's authorized official is Ronda Mitchell Bythewood .
The authorized official title is Executive Director and has the following contact phone number (828) 439-9911.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/6/2007.

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 License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-012-009NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16603042MEDICAIDNORTH CAROLINA

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: 11/21/2025

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