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PHOENIX GROUP HOMES INC. NPI 1811100282


NPI Information

NPI: 1811100282
Provider Name: PHOENIX GROUP HOMES, INC.
Classification: Lodging - 177F00000X
Entity Type: Organization
Address:
2371 HIGHWOOD AVE E
MAPLEWOOD, MN
ZIP 55119
Phone: (651) 773-1142
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PHOENIX GROUP HOMES, INC. is a lodging in Maplewood, MN. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. PHOENIX GROUP HOMES, INC. NPI is 1811100282. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2371 HIGHWOOD AVE E
MAPLEWOOD, MN
ZIP 55119-801
Phone: (651) 773-1142
Fax: (651) 773-5894

The provider's authorized official is Wendy Jean Sparks .
The authorized official title is Assistant Director and has the following contact phone number (651) 230-0849.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 8/22/2020.


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
1177F00000XLodging1037126-2-DCFCMINNESOTAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.