Phoenix Supported Living Inc
LBN: Phoenix Supported Living Inc
Phoenix Supported Living Inc is an health care organization with primary practice located at 48 Brittian Trace , Andrews NC 28901. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Phoenix Supported Living Inc can be contacted via phone (828) 389-1795, or through Nemkovich, Janet Melissa via phone (828) 389-1795.
Contact Information
Primary practice address
48 Brittian Trace
Andrews NC 28901
Phone: (828) 389-1795
Fax: (828) 389-1658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 7804847 | North Carolina |
Profile Details
| NPI number | 1366598336 |
|---|---|
| LBN Legal business name | Phoenix Supported Living Inc |
| DBA Doing business as | |
| Authorized official | Nemkovich, Janet Melissa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | May 11th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366598336 | NPPES |
| North Carolina | MEDICAID | 7804847 |
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