Phoenix Home For Boys

LBN: Phoenix Home For Boys
Phoenix Home For Boys is an health care organization with primary practice located at 117 William Parks Ln , Morganton NC 28655-9173. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Phoenix Home For Boys can be contacted via phone (828) 584-1589, or through Bythewood, Ronda Mitchell via phone (828) 439-9911.

Contact Information

Primary practice address
117 William Parks Ln Morganton NC 28655-9173
Phone: (828) 584-1589
Fax: (828) 584-1589
Website:
Map and Directions
Authorized official contact:
Name: Bythewood, Ronda Mitchell
Phone: (828) 439-9911

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-012-009 North Carolina

Profile Details

NPI number 1588855787
LBN Legal business name Phoenix Home For Boys
DBA Doing business as
Authorized official Bythewood, Ronda Mitchell
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 5th, 2007
Last updated Aug 6th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588855787 NPPES
North Carolina MEDICAID 6603042

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