PHOENIX SUPPORTED LIVING INC – NPI #1457497687
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

PHOENIX SUPPORTED LIVING INC is a residential treatment facility (RTF) located in MURPHY, NC. NPPES has assigned the NPI number 1457497687 to PHOENIX SUPPORTED LIVING INC on January 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHOENIX SUPPORTED LIVING INC below.

NPI Profile for
PHOENIX SUPPORTED LIVING INC

NPI Number
1457497687
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHOENIX SUPPORTED LIVING INC
Primary location
201 HAMPTON CHURCH ROAD
MURPHY, NC 28906
Phone: (828) 389-1795 Fax: (828) 389-1658
Mailing address
2996 NC 69
SUITE 6
HAYESVILLE, NC 28904-7257
Phone: (828) 389-1795 Fax: (828) 389-1658
Organization Subpart
No
Authorized Official
JANET NEMKOVICH
DIRECTOR
Phone: (828) 389-1795
Updated
Identifiers

Identifiers for PHOENIX SUPPORTED LIVING INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC7804651
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320700000X
- Residential Treatment Facility, Physical Disabilities (Primary)
NC 7804651

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.