PHOENIX RESIDENCE INC – Intellectual Disabilities Intermediate Care Facility, NPI 1245324920

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. 800870 (MN). The NPI Number for PHOENIX RESIDENCE INC is 1245324920

Main info

Organization
Name
PHOENIX RESIDENCE INC
NPI
1245324920
Phone
(651) 227-7655
Address
330 MARIE AVENUE E
Authorized Official
DARLENE M SCOTT PRESIDENT CEO
Enumeration Date
3 October 2006
Last Update Date
2 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

  • 1866, Furness Street, Maplewood, Ramsey County, Minnesota, 55109, United States

    MAPLEWOOD, MN 55109

    Phone: (651) 777-6349

    Fax: (651) 779-9492

    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

Is there an official ID for PHOENIX RESIDENCE INC in U.S. healthcare records?
The official identifier for PHOENIX RESIDENCE INC is NPI 1245324920.
Is there an active status for PHOENIX RESIDENCE INC?
For scheduling context, PHOENIX RESIDENCE INC is shown as active in the registry.
How would a patient describe PHOENIX RESIDENCE INC's focus?
For PHOENIX RESIDENCE INC, the primary taxonomy reads as Intellectual Disabilities Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
Where in Minnesota is PHOENIX RESIDENCE INC registered?
Use West St Paul, Minnesota as the headline location for PHOENIX RESIDENCE INC here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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