PHOENIX RESIDENCE, INC. – Intellectual Disabilities Intermediate Care Facility, NPI 1376649772

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. 1033707 1 RS (MN). The NPI Number for PHOENIX RESIDENCE, INC. is 1376649772

Main info

Organization
Name
PHOENIX RESIDENCE, INC.
NPI
1376649772
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

  • 351, 14th Street, Newport, Washington County, Minnesota, 55055, United States

    NEWPORT, MN 550551127

    Phone: (651) 459-4419

    Fax: (651) 459-2269

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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

What is the standard ID for PHOENIX RESIDENCE, INC. in the U.S.?
In the U.S., PHOENIX RESIDENCE, INC. is identified by NPI 1376649772.
Is PHOENIX RESIDENCE, INC. currently accepting referrals based on NPI status?
Registry metadata lists PHOENIX RESIDENCE, INC. as active.
What services align with PHOENIX RESIDENCE, INC.'s listing?
PHOENIX RESIDENCE, INC.'s public classification highlights Intellectual Disabilities Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
Is PHOENIX RESIDENCE, INC. tied to West St Paul, Minnesota?
If you are local to West St Paul, Minnesota, PHOENIX RESIDENCE, INC. may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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