PHOENIX RECOVERY, LLC (NPI# 1548617970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548617970 |
| Entity Type | Organization |
| Organization Name | PHOENIX RECOVERY, LLC |
| Other Organization Name | RENEW LIFE PATH |
| Practice Address |
23 Vance Crescent St Asheville NC 28806-3010 |
| Mailing Address |
14 Dillingham Cir Asheville NC 28805-9785 |
| Practice Telephone | 8282421400 |
| Practice Fax Number | 8882112660 |
| Mailing Telephone | 8287777746 |
| Mailing Fax Number | 8882112660 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | MR. JON MARBOIS-SEGALL (OWNER) |
| Authorized Official Telephone | 8282421400 |
| Authorized Official Credential | CSAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 305S00000X | Point of Service | Managed Care Organizations | ||
| Y | 251B00000X | Case Management | CSAC-20579 | NC | Agencies |
| Other Name | Type Code |
|---|---|
| Renew Life Path | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861053183 | Phoenix Recovery, LLC | Counselor | 4270 Main St Ste 200, Bridgeport, CT 06606-2306 | 2019-06-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Phoenix Recovery, LLC | 4270 Main St, Suite 200, Bridgeport, CT 06606 |
| Street Address |
23 VANCE CRESCENT ST |
| City | ASHEVILLE |
| State | NC |
| Zip Code | 28806-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003442989 | Kristen Duchac | Registered Nurse | 711 New Leicester Highway, Appalachian Mountain Community Health Center, Leicester, NC 28806 | 2020-03-23 |
| 1457905994 | Sarah Davidson | Social Worker | 1316 D Patton Ave, Asheville, NC 28806 | 2019-08-01 |
| 1578128880 | Ingles Markets Inc | Pharmacy | 151 Smokey Park Hwy, Asheville, NC 28806 | 2019-05-02 |
| 1215403191 | Heather Lynne Parente | Counselor | 110 Ridgefield Blvd., Suite 190, Asheville, NC 28806 | 2018-10-18 |
| 1790250629 | Kathy Arlene Whiteside | Social Worker | Family Preservation Services, 1316 D Patton Ave, Asheville, NC 28806 | 2018-10-08 |
| 1467947036 | Gabrielle Lahowitch | Social Worker | 44 Robinwood Ave, Asheville, NC 28806 | 2018-06-26 |
| 1205326204 | Elizabeth R Guest | Counselor | 1316d Patton Ave, Asheville, NC 28806 | 2018-05-15 |
| 1285159905 | Austin John Hille | Physical Medicine & Rehabilitation | 400 Landis Ct. #203, Asheville, NC 28806 | 2017-08-03 |
| 1063941458 | Callan White Dds, Pllc | Dentist | 655 Brevard Road, Asheville, NC 28806 | 2017-06-08 |
| 1134668098 | Ellen Minier | Nurse Practitioner | 23 Westmont Drive, Asheville, NC 28806 | 2017-02-13 |
| Find all providers in zip 28806 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932576444 | Liberty Corner Enterprises, Inc. | Case Management | 55 Stradwood Pl, Asheville, NC 28804-1825 | 2015-09-01 |
| 1346617867 | Liberty Corner Enterprises, Inc. | Case Management | 629 Old Marshall Hwy, Asheville, NC 28804-9603 | 2015-09-01 |
| 1619352457 | Liberty Corner Enterprises, Inc. | Case Management | 62 Marne Rd, Asheville, NC 28803-2221 | 2015-07-22 |
| 1043695885 | Liberty Corner Enterprises, Inc. | Case Management | 65 Lees Creek Rd, Windemere Group Home, Asheville, NC 28806-4707 | 2015-07-22 |
| 1174908917 | Liberty Corner Enterprises, Inc. | Case Management | 521 Clearview Ter, Asheville, NC 28804-3402 | 2015-07-22 |
| 1427433275 | Liberty Corner Enterprises, Inc. | Case Management | 23 Old Farm School Rd, Asheville, NC 28805-1604 | 2015-07-22 |
| 1629451794 | Turning Point Services, Inc. | Case Management | 2 Miller Rd E, Asheville, NC 28805-1925 | 2015-07-07 |
| 1679910467 | Mission Hospital | Case Management | 400 Ridgefield Ct Ste 203.04, Asheville, NC 28806-2213 | 2013-06-03 |
| 1982925590 | The Arc of North Carolina | Case Management | 22 Garfield St, Suite 120, Asheville, NC 28803-8818 | 2010-06-17 |
| 1710208327 | The Arc of North Carolina | Case Management | 30 Garfield St Ste D, Asheville, NC 28803-7301 | 2010-06-17 |
| Find all providers in ASHEVILLE | ||||
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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.