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PHOENIX HOMES INC NPI 1609088798


NPI Information

NPI: 1609088798
Provider Name: PHOENIX HOMES, INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
233 N MAIN ST
DELPHOS, OH
ZIP 45891
Phone: (419) 692-2421
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PHOENIX HOMES, INC is a community behavioral health in Delphos, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PHOENIX HOMES, INC NPI is 1609088798. The provider is registered as an organization entity type.

The provider's business location address is:

233 N MAIN ST
DELPHOS, OH
ZIP 45891
Phone: (419) 692-2421
Fax: (419) 692-2300

The provider's authorized official is Bruce Maag .
The authorized official title is Ceo and has the following contact phone number (419) 692-2421.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 7/22/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health40064RHODE ISLANDNo
2251S00000XCommunity/Behavioral Health00294MARYLANDNo
3251S00000XCommunity/Behavioral Health500544KENTUCKYNo
4251S00000XCommunity/Behavioral HealthSO10124ATENNESSEENo
5251S00000XCommunity/Behavioral HealthSO10103ATENNESSEENo
6251S00000XCommunity/Behavioral HealthSO10102ATENNESSEENo
7322D00000XResidential Treatment Facility, Emotionally Disturbed Children046478ALABAMANo
8251S00000XCommunity/Behavioral Health496OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1322D0000XMEDICAIDALABAMA

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

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