RISING PHOENIX COMMUNITY LIVING, LLC (NPI# 1194247858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194247858 |
| Entity Type | Organization |
| Organization Name | RISING PHOENIX COMMUNITY LIVING, LLC |
| Practice Address |
1414 W 6th St Ste 101 Lawrence KS 66044-2266 |
| Practice Telephone | 7858567001 |
| Practice Fax Number | 7858567003 |
| Mailing Telephone | 7858567001 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2020-06-27 |
| Authorized Official Name | SANDRA LAUREN YODER (OWNER) |
| Authorized Official Telephone | 7858567001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
1414 W 6TH ST STE 101 |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66044-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
| 1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
| 1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
| 1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
| 1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
| 1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
| 1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
| 1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
| Find all providers in zip 66044 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407388333 | Erick Ogwangi | Day Training, Developmentally Disabled Services | 3200 Haskell Ave, Lawrence, KS 66046-8974 | 2017-03-30 |
| 1083801047 | Bridge Builders, LLC | Day Training, Developmentally Disabled Services | 316 Wagon Wheel Rd, Lawrence, KS 66049-2034 | 2007-10-03 |
| 1801016993 | American Training, Inc. | Day Training, Developmentally Disabled Services | 11 Ballard Way, Lawrence, MA 01843-1045 | 2007-04-30 |
| 1942332697 | American Training, Inc. | Day Training, Developmentally Disabled Services | 102 Glenn St, Lawrence, MA 01843-1022 | 2007-03-09 |
| 1528195179 | Class, Inc. | Day Training, Developmentally Disabled Services | 1 Parker St, Lawrence, MA 01843-1540 | 2007-02-28 |
| 1093373847 | Lifelinks, Inc. | Day Training, Developmentally Disabled Services | 1 Parker St, Lawrence, MA 01843-1540 | 2019-06-05 |
| 1528515103 | Melmark Inc | Day Training, Developmentally Disabled Services | 280 Merrimack St, Suite 107, Lawrence, MA 01843 | 2016-09-01 |
| 1003234352 | Bridge Point Community Supports | Day Training, Developmentally Disabled Services | 3242 Huntington Rd, Lawrence, KS 66049-5207 | 2014-04-03 |
| 1669803433 | Mcshaw Inc | Day Training, Developmentally Disabled Services | 2904 Crestline Dr, Lawrence, KS 66047-3065 | 2013-12-04 |
| 1649607755 | Bridge Builders LLC | Day Training, Developmentally Disabled Services | 316 Wagon Wheel Rd, Lawrence, KS 66049-2034 | 2013-10-03 |
| Find all providers in LAWRENCE | ||||
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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.