PHOENIX RECOVERY SERVICES LLC (NPI# 1346658234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346658234 |
| Entity Type | Organization |
| Organization Name | PHOENIX RECOVERY SERVICES LLC |
| Other Organization Name | GILMAN PHOENIX HOUSE |
| Practice Address |
600 W Hickory St Gilman WI 54433-0188 |
| Practice Telephone | 7154478219 |
| Practice Fax Number | 7154475775 |
| Mailing Telephone | 7154478219 |
| Mailing Fax Number | 7154475775 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Authorized Official Name | MR. JOHN CHARLES HALBLEIB (MANAGING MEMBER) |
| Authorized Official Telephone | 7155776524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | WI | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Gilman Phoenix House | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | PHOENIX RECOVERY SERVICES LLC | 5215 Wilmington Circle, Lafayette, IN 47905 |
| Street Address |
600 W HICKORY ST |
| City | GILMAN |
| State | WI |
| Zip Code | 54433-0188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659611861 | Almost Home Again | Community Based Residential Treatment Facility, Mental Illness | N3531 Elder Dr, Gilman, WI 54433 | 2013-02-25 |
| 1265625453 | Gilman Care Center LLC | Skilled Nursing Facility | 600 West Hickory St, Gilman, WI 54433 | 2007-08-22 |
| 1285703173 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 320 East Main, Gilman, WI 54433 | 2006-11-07 |
| 1588683726 | Nicholine F Crick | Nurse Practitioner | 320 E Main, Gilman, WI 54433 | 2006-07-19 |
| 1740352673 | Zastrow Care Center Inc | Skilled Nursing Facility | 600 W Hickory Street, Gilman, WI 54433-0218 | 2006-11-15 |
| 1235318999 | Gilman School District | Local Education Agency (LEA) | 325 N 5th Ave, Gilman, WI 54433-9242 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467962621 | Sarah M Allen | Nurse Practitioner | 720b S Crescent St, Gilman, IL 60938-1518 | 2017-10-02 |
| 1073048468 | Nicole Lynn Fatka | Specialist/Technologist, Other | 318 N Thomas St, Gilman, IL 60938-1352 | 2017-04-24 |
| 1972994804 | Bhs of Illinois LLC | Substance Abuse Rehabilitation Facility | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2015-02-13 |
| 1659611861 | Almost Home Again | Community Based Residential Treatment Facility, Mental Illness | N3531 Elder Dr, Gilman, WI 54433 | 2013-02-25 |
| 1033460100 | Rachelle L Wilken | Massage Therapist | 401 S Crescent St., Gilman, IL 60938 | 2012-09-28 |
| 1669638789 | Gilman Healthcare Center, LLC | Skilled Nursing Facility | 1390 S Crescent St, Gilman, IL 60938-6129 | 2008-07-29 |
| 1235318999 | Gilman School District | Local Education Agency (LEA) | 325 N 5th Ave, Gilman, WI 54433-9242 | 2007-10-30 |
| 1265625453 | Gilman Care Center LLC | Skilled Nursing Facility | 600 West Hickory St, Gilman, WI 54433 | 2007-08-22 |
| 1649327180 | East Marshall C.s.d. | Local Education Agency (LEA) | 225 S. Elm, Gilman, IA 50106 | 2007-01-05 |
| 1740352673 | Zastrow Care Center Inc | Skilled Nursing Facility | 600 W Hickory Street, Gilman, WI 54433-0218 | 2006-11-15 |
| Find all providers in GILMAN | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659611861 | Almost Home Again | Community Based Residential Treatment Facility, Mental Illness | N3531 Elder Dr, Gilman, WI 54433 | 2013-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953475 | County of Trempealeau | Community Based Residential Treatment Facility, Mental Illness | N36655 County Road Qqq, Whitehall, WI 54773-4401 | 2020-08-19 |
| 1932699873 | Dominique Lindsey | Community Based Residential Treatment Facility, Mental Illness | 4031 N 86th St, Milwaukee, WI 53222-1701 | 2018-05-16 |
| 1841706942 | Normic Enterprises Inc | Community Based Residential Treatment Facility, Mental Illness | N8761 Overland Dr, Watertown, WI 53094-9592 | 2017-12-27 |
| 1053858019 | Wise Management Inc. | Community Based Residential Treatment Facility, Mental Illness | 1538 W Liebau Rd, Mequon, WI 53092-2621 | 2017-01-27 |
| 1629513775 | Vessels of God | Community Based Residential Treatment Facility, Mental Illness | 2821 N 4th St # 304, Milwaukee, WI 53212-2362 | 2016-12-28 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1104207497 | Platteville Family Resource Center | Community Based Residential Treatment Facility, Mental Illness | 155 W Lewis St, Platteville, WI 53818-2103 | 2015-06-12 |
| 1902214182 | Mental Health Services, Inc | Community Based Residential Treatment Facility, Mental Illness | 1117 Clara Ave, Sheboygan, WI 53081-5317 | 2014-07-31 |
| 1801214457 | Mikolaj Szypicyn | Community Based Residential Treatment Facility, Mental Illness | 261 3rd St, Reedsburg, WI 53959-1621 | 2014-04-01 |
| 1598186991 | Campbell House LLC | Community Based Residential Treatment Facility, Mental Illness | 7197 Loper Rd, Sauk City, WI 53583-9552 | 2014-01-02 |
| Find all providers with the same taxonomy | ||||
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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.