PHOENIX GROUP HOMES, INC. (NPI# 1003022518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003022518 |
| Entity Type | Organization |
| Organization Name | PHOENIX GROUP HOMES, INC. |
| Practice Address |
20898 130th St New Richland MN 56072-3501 |
| Mailing Address |
1011 Interlachen Pkwy Woodbury MN 55125-8852 |
| Practice Telephone | 5074659940 |
| Practice Fax Number | 5074659941 |
| Mailing Telephone | 6512300849 |
| Mailing Fax Number | 6517735894 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WENDY J. SPARKS (ASSISTANT DIRECTOR) |
| Authorized Official Telephone | 6512300849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 177F00000X | Lodging | 1037125-3-DCFC | MN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811100282 | Phoenix Group Homes, Inc. | Lodging | 2371 Highwood Ave E, Maplewood, MN 55119-5801 | 2007-05-08 |
| 1841417144 | Phoenix Group Homes, Inc. | Lodging | 1936 Craig Pl, Maplewood, MN 55109-2844 | 2007-04-19 |
| 1164675344 | Phoenix Group Homes, Inc. | Community/Behavioral Health | 227 E Main St, Suite 105, Mankato, MN 56001-7732 | 2008-10-31 |
| Street Address |
20898 130TH ST |
| City | NEW RICHLAND |
| State | MN |
| Zip Code | 56072-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790843324 | Granite City Chiropractic, Inc | Clinic/Center | 131 South Broadway, New Richland, MN 56072 | 2006-12-05 |
| 1316911415 | Main Street Dental Clinic of New Richland Pllp | Dentist | 132 North Broadway, New Richland, MN 56072 | 2006-02-15 |
| 1124020896 | Raymond W Mielke | Chiropractor | 131 Broadway Ave So, New Richland, MN 56072 | 2005-08-12 |
| 1033323001 | Ecumen | Assisted Living Facility | 113 1st St Sw, New Richland, MN 56072-1200 | 2007-05-09 |
| 1659828382 | The Beacon At New Richland LLC | Assisted Living Facility | 113 1st St Sw, New Richland, MN 56072-1200 | 2016-09-11 |
| 1790874147 | Ind School Dist 2168 Nrheg Public Schools | Local Education Agency (LEA) | 306 Ash Ave S, New Richland, MN 56072-1514 | 2006-10-12 |
| 1598053886 | James Hansen | Speech-Language Pathologist | 13485 Sw 102nd Ave, New Richland, MN 56072-1825 | 2011-07-20 |
| 1144215252 | New Richland Care Center | Skilled Nursing Facility | 312 1st St Ne, New Richland, MN 56072-2003 | 2005-09-14 |
| 1053303552 | City of New Richland | Ambulance | 203 Broadway Ave N, New Richland, MN 56072-2021 | 2005-08-19 |
| 1760424295 | New Richland Drug PC | Durable Medical Equipment & Medical Supplies | 112 Broadway Ave S, New Richland, MN 56072-2024 | 2006-06-11 |
| Find all providers in zip 56072 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122758 | Kmjv Operation LLC | Lodging | 19351 Indiana Ave, Lakeville, MN 55044-4849 | 2020-10-23 |
| 1396395349 | Jerald Mitchell | Lodging | 120 3rd Ave N, Biwabik, MN 55708-3032 | 2019-09-11 |
| 1124687322 | Thibodeaux Real Estate Conglomerate | Lodging | 4245 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2019-06-11 |
| 1417416504 | The Chestnut Burrow | Lodging | 423 Chestnut St, Virginia, MN 55792-2525 | 2019-03-18 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1558874743 | Kelly-norton Programs, Inc. | Lodging | 1928 Stevens Ave, Minneapolis, MN 55403-3835 | 2017-11-09 |
| 1114441987 | Darlene Benson | Lodging | 22383 Nebish Rd Ne, Blackduck, MN 56630-5138 | 2017-08-02 |
| 1972816155 | Erie Beehler | Lodging | 12407 Parkwood Ln Nw, Bemidji, MN 56601-6178 | 2010-07-16 |
| 1487966115 | Michele Astrup | Lodging | 21251 Co 35, Underwood, MN 56586 | 2010-07-10 |
| 1336466614 | Kristin Zachman | Lodging | 5080 Naber Ave Ne, Saint Michael, MN 55376-9424 | 2010-04-27 |
| Find all providers with the same taxonomy | ||||
| City | NEW RICHLAND |
| Zip Code | 56072 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.