PHOENIX RESIDENCE, INC. – Intellectual Disabilities Intermediate Care Facility, NPI 1376649673

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. 1033704 1 RS (MN). The NPI Number for PHOENIX RESIDENCE, INC. is 1376649673

Main info

Organization
Name
PHOENIX RESIDENCE, INC.
NPI
1376649673
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

  • 645, Viking Drive East, Little Canada, Ramsey County, Minnesota, 55117, United States

    LITTLE CANADA, MN 551171663

    Phone: (651) 294-2076

    Fax: (651) 294-2077

    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)

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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 1376649673.
Is PHOENIX RESIDENCE, INC. shown as active in public data?
Registry records indicate PHOENIX RESIDENCE, INC. maintains an active NPI.
What expertise is attributed to PHOENIX RESIDENCE, INC.?
PHOENIX RESIDENCE, INC.'s specialty line reads Intellectual Disabilities Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
Is PHOENIX RESIDENCE, INC. associated with West St Paul?
Public fields place PHOENIX RESIDENCE, INC. around West St Paul, Minnesota. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for PHOENIX RESIDENCE, INC. is noted as September 15, 2006 where the registry provides it.

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