PHOENIX SUPPORTED LIVING INC (NPI# 1487700258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487700258 |
| Entity Type | Organization |
| Organization Name | PHOENIX SUPPORTED LIVING INC |
| Practice Address |
19645 Us 19 Andrews NC 28901 |
| Mailing Address |
2996 Nc 69 Suite 6 Hayesville NC 28904-7257 |
| Practice Telephone | 8283891795 |
| Practice Fax Number | 8283891658 |
| Mailing Telephone | 8283891795 |
| Mailing Fax Number | 8283891658 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JANET MELISSA NEMKOVICH (DIRECTOR) |
| Authorized Official Telephone | 8283891795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 7805529 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805529 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013053255 | Phoenix Supported Living Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 48 Britian Trace, Andrews, NC 28901 | 2007-01-29 |
| 1457497687 | Phoenix Supported Living Inc | Residential Treatment Facility, Physical Disabilities | 201 Hampton Church Road, Murphy, NC 28906 | 2007-01-29 |
| 1174679948 | Phoenix Supported Living Inc | Community Based Residential Treatment Facility, Mental Illness | 140 Adams Drive, Andrews, NC 28904 | 2007-01-26 |
| 1073669818 | Phoenix Supported Living Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 284 Smokeford Rd, Murphy, NC 28906-9065 | 2007-01-26 |
| 1356497127 | Phoenix Supported Living Inc | Residential Treatment Facility, Physical Disabilities | 284 Smokeford Road, Murphy, NC 28906 | 2007-01-26 |
| 1942356779 | Phoenix Supported Living Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 205 Hampton Church Road, Murphy, NC 28906 | 2007-01-26 |
| 1912052085 | Phoenix Supported Living Inc | Community Based Residential Treatment Facility, Mental Illness | 140 Adams Dr, Andrews, NC 28901-8105 | 2007-01-25 |
| 1366598336 | Phoenix Supported Living Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 48 Brittian Trace, Andrews, NC 28901 | 2007-01-25 |
| 1437204674 | Phoenix Supported Living Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 201 Hampton Church Rd, Murphy, NC 28906-8323 | 2007-01-25 |
| 1033298864 | Phoenix Supported Living Inc | Assisted Living Facility | 2996 Nc 69 S, Suite #6, Hayesville, NC 28904 | 2006-11-03 |
| Street Address |
19645 US 19 |
| City | ANDREWS |
| State | NC |
| Zip Code | 28901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992348601 | April Sue Turner | Nurse Practitioner | 2751 Us-19 Bus, Andrews, NC 28901 | 2019-10-25 |
| 1841753290 | Paula Hall | Speech-Language Pathologist | 2742 Fairview Rd, Andrews, NC 28901 | 2019-04-12 |
| 1336491307 | Davidson Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19704 Highway 19, Andrews, NC 28901 | 2012-10-15 |
| 1942479100 | Whispering Pines Family Care Home | Assisted Living Facility | 11 Piercy Rd, Andrews, NC 28901 | 2008-02-21 |
| 1730371303 | Carolina Care Homes Inc | Custodial Care Facility | 4025 Pisgah Rd, Andrews, NC 28901 | 2007-08-16 |
| 1598800880 | Cutshaw Chiropractic Center, Inc | Chiropractor | 13882 Us Hwy 19, Whites Plaza, Andrews, NC 28901 | 2007-02-21 |
| 1083750228 | Phoenix Supported Living Inc. | Community Based Residential Treatment Facility, Mental Illness | 19 645 Hwy 19, Andrews, NC 28901 | 2007-01-29 |
| 1013053255 | Phoenix Supported Living Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 48 Britian Trace, Andrews, NC 28901 | 2007-01-29 |
| 1366598336 | Phoenix Supported Living Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 48 Brittian Trace, Andrews, NC 28901 | 2007-01-25 |
| 1871682583 | Andrews Family Chiropractic LLC | Chiropractor | 18 Town Branch Road, Andrews, NC 28901 | 2006-10-12 |
| Find all providers in zip 28901 | ||||
| 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 |
|---|---|---|---|---|
| 1083750228 | Phoenix Supported Living Inc. | Community Based Residential Treatment Facility, Mental Illness | 19 645 Hwy 19, Andrews, NC 28901 | 2007-01-29 |
| 1174679948 | Phoenix Supported Living Inc | Community Based Residential Treatment Facility, Mental Illness | 140 Adams Drive, Andrews, NC 28904 | 2007-01-26 |
| 1912052085 | Phoenix Supported Living Inc | Community Based Residential Treatment Facility, Mental Illness | 140 Adams Dr, Andrews, NC 28901-8105 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1245837061 | Bliss Haven Group LLC | Community Based Residential Treatment Facility, Mental Illness | 2442 Sandhurst Ct, Gastonia, NC 28054-2738 | 2020-10-05 |
| 1386259265 | Nevaehs Caring Hands | Community Based Residential Treatment Facility, Mental Illness | 2509 Dalton Rd, Rocky Mount, NC 27803-4721 | 2020-09-09 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1801409859 | Destiny & Miracle LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 Houston St, Gastonia, NC 28052-1632 | 2020-08-28 |
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1366001976 | Foundation of Hope, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Grice Road, Chadbourn, NC 28431-6709 | 2019-06-07 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1174187868 | Stepping Stone Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 2720 White Oak Ln, Kannapolis, NC 28083-7256 | 2019-04-28 |
| 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.