PHOENIX RESIDENCE, INC. – Intellectual Disabilities Intermediate Care Facility, NPI 1144326513

PHOENIX RESIDENCE, INC. is a healthcare provider. based in West st paul, Minnesota. specializing in Intellectual Disabilities Intermediate Care Facility. The organization holds a License No. 1032513 1 RS (MN). The NPI Number for PHOENIX RESIDENCE, INC. is 1144326513

Main info

Organization
Name
PHOENIX RESIDENCE, INC.
NPI
1144326513
Phone
(651) 227-7655
Address
330 MARIE AVE E
Authorized Official
DARLENE M SCOTT PRESIDENT/CEO
Enumeration Date
15 September 2006
Last Update Date
1 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PHOENIX RESIDENCE, INC.

  • 330, Marie Avenue East, West Saint Paul, Dakota County, Minnesota, 55118, United States

    WEST ST PAUL, MN 551184011

    Phone: (651) 227-7655

    Fax: (651) 227-6847

    Type: Mailing

  • 1500, East Ames Avenue, Greater East Side, Saint Paul, Ramsey County, Minnesota, 55106, United States

    SAINT PAUL, MN 551067022

    Phone: (651) 774-0194

    Fax: (651) 774-2074

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55118)

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Reviews

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Frequently asked questions

What number should I use to identify PHOENIX RESIDENCE, INC. for billing?
Administrative and clinical systems typically use NPI 1144326513 for PHOENIX RESIDENCE, INC..
Does the public listing show PHOENIX RESIDENCE, INC. as active?
PHOENIX RESIDENCE, INC.'s NPI record reflects an active status in NPPES.
What type of care does PHOENIX RESIDENCE, INC. provide?
PHOENIX RESIDENCE, INC.'s profile centers on Intellectual Disabilities Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
What city is tied to PHOENIX RESIDENCE, INC.?
The directory associates PHOENIX RESIDENCE, INC. with West St Paul, Minnesota. Check all listed addresses for suites or satellite offices.
Can I export PHOENIX RESIDENCE, INC.'s record?
You can download the official NPPES record; we summarize key fields for readability.

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