NPIMap

Phoenix Group Home, LLC

Organization Active NPI Community/Behavioral Health Agency · Portsmouth, OH

NPI 1083146013 · NPPES record last updated Aug 17, 2026

Key facts

NPI
1083146013
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
PHOENIX GROUP HOME, LLC
Practice address
902 Gallia St
Portsmouth, OH 45662-4139
Phone
(740) 529-2125
Fax
(740) 529-2126
NPI assigned
Mar 29, 2017
Organization subpart
No

Authorized official

Name
Mr. Marshal Lunt
Title
Owner
Phone
(801) 560-3822

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 590

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 590

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2169124Phoenix Group Home LLC Dba
1621 Tiffin Avenue, Findlay, OH 45840		Certificate of waiverOct 22, 2027
36D2330831Phoenix Group Home LLC Dba Path Behavioral
4384 Rhodes Ave, New Boston, OH 45662		Certificate of waiverSep 22, 2027
36D2330843Phoenix Group Home LLC Dba Path Behavioral
1156 Columbus Ave Ste C, Washington Court House, OH 43160		Certificate of waiverSep 22, 2027
36D2330848Phoenix Group Home LLC Dba Path Behavioral
902 Gallia Street, Portsmouth, OH 45662		Certificate of waiverSep 22, 2027
36D2330850Phoenix Group Home LLC Dba Path Behavioral
336 Main Street, Jackson, OH 45640		Certificate of waiverSep 22, 2027
36D2330853Phoenix Group Home LLC Dba Path Behavioral
419 Vernon St, Ironton, OH 45638		Certificate of waiverSep 22, 2027
36D2330855Phoenix Group Home LLC Dba Path Behavioral
411 Center St, Ironton, OH 45638		Certificate of waiverSep 22, 2027
36D2330856Phoenix Group Home LLC Dba Path Behavioral
9 Chesapeake Plaza, Chesapeake, OH 45619		Certificate of waiverSep 22, 2027
36D2332721Phoenix Group Home LLC Dba
379 Adair Ave, Zanesville, OH 43701		Certificate of waiverOct 22, 2027
36D2332723Phoenix Group Home LLC Dba
1713 Marion-Mount Gilead Rd Suite 108, Marion, OH 43302		Certificate of waiverOct 22, 2027
36D2332724Phoenix Group Home LLC Dba
213 Dayton St, Hamilton, OH 45011		Certificate of waiverOct 22, 2027
36D2332725Phoenix Group Home LLC Dba
5439 Burkhardt Rd, Riverside, OH 45431		Certificate of waiverOct 22, 2027
36D2332732Phoenix Group Home LLC Dba
1616 E Liberty St Suite B, Girard, OH 44420		Certificate of waiverOct 22, 2027
36D2332733Phoenix Group Home LLC Dba
1475 Lexington Avenue Suite a, Mansfield, OH 44907		Certificate of waiverOct 22, 2027
36D2332735Phoenix Group Home LLC Dba
632 Wagner Ave, Greenville, OH 45331		Certificate of waiverOct 22, 2027
36D2333134Phoenix Group Home LLC Dba
220 S Breiel Blvd Suite B, Middletown, OH 45044		Certificate of waiverOct 29, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250825000722 OH Part B Supplier - Clinic/Group Practice 7911407903 Receives reassigned benefits from 47 practitioners
Practice locations: Logan, OH; McConnelsville, OH; Middletown, OH; New Boston, OH; New Lexington, OH; Portsmouth, OH; Riverside, OH; Springfield, OH…

National Provider Directory

Tax ID family
Phoenix Group Home LLC (2 organizations share this tax ID)

Locations

306 W Union St
Athens, OH 45701
Phone (740) 764-4529

9711 E Pike Rd
Rm 104
Cambridge, OH 43725
Phone (740) 825-8543

3 Chesapeake Plz
#9
Chesapeake, OH 45619

9 Chesapeake Plz
Chesapeake, OH 45619
Phone (740) 297-6019

111 W Water St
Chillicothe, OH 45601
Phone (740) 779-4663

3012 Glenmore Ave
Ste 104
Cincinnati, OH 45238
Phone (513) 914-1815

1621 Tiffin Ave
Findlay, OH 45840
Phone (567) 525-4100

905 N Main St
Findlay, OH 45840
Phone (567) 525-4100

632 Wagner Ave
Greenville, OH 45331
Phone (937) 365-2275

411 Center St
Ironton, OH 45638
Phone (740) 302-8370

117 W Main St
Ste 107
Lancaster, OH 43130
Phone (740) 689-1890

3044 Columbus Lancaster Rd NW
Lancaster, OH 43130
Phone (740) 883-9300

31500 Chieftain Dr
Unit Bc
Logan, OH 43138

1475 Lexington Ave
Ste A
Mansfield, OH 44907
Phone (419) 386-0954

151 S Kennebec Ave
McConnelsville, OH 43756
Phone (740) 675-0129

220 S Breiel Blvd
Ste 220B
Middletown, OH 45044
Phone (513) 849-8670

399 Lincoln Park Dr
Ste A
New Lexington, OH 43764
Phone (740) 343-4447

303 Offnere St
Portsmouth, OH 45662
Phone (740) 715-0094

2057 S Limestone St
Springfield, OH 45505
Phone (937) 226-9787

221 W Emmitt Ave
Unit 1
Waverly, OH 45690
Phone (740) 865-4054

8237 Hayport Rd
#34
Wheelersburg, OH 45694
Phone (740) 270-3534

53 W Main St
Xenia, OH 45385
Phone (937) 403-4832

53 W Main St
Ste 53
Xenia, OH 45385
Phone (513) 275-6447

62 E 2700 S
South Salt Lake, UT 84115
Phone (801) 477-4480

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

902 Gallia St
Portsmouth, OH 45662-4139

Mailing address

257 E 200 S Ste 350
Salt Lake City, UT 84111-2085
Phone (740) 858-1659

Other practice location 1

151 S Kennebec Ave
McConnelsville, OH 43756-1211
Phone (740) 960-0568

Other practice location 2

905 N Main St
Findlay, OH 45840-3670
Phone (567) 525-4100

Other practice location 3

399 Lincoln Park Dr Ste A
New Lexington, OH 43764-1078
Phone (740) 960-0380

Other practice location 4

1713 Marion Mount Gilead Rd Ste 108
Marion, OH 43302-7868
Phone (740) 396-9970

Other practice location 5

1475 Lexington Ave Ste A
Mansfield, OH 44907-2687
Phone (419) 386-0954

Other practice location 6

3012 Glenmore Ave Ste 104
Cincinnati, OH 45238-2258
Phone (513) 914-1815

Other practice location 7

111 W Water St
Chillicothe, OH 45601-2452
Phone (740) 851-6493

Other practice location 8

2057 S Limestone St
Springfield, OH 45505-4727
Phone (937) 226-9787

Other practice location 9

126 N Cross St
West Union, OH 45693-1209
Phone (740) 340-1460

Other practice location 10

31500 Chieftain Dr Unit Bc
Logan, OH 43138-8421
Phone (740) 270-3286

Other practice location 11

1605 11th St
Portsmouth, OH 45662-4525
Phone (740) 883-9321

Other practice location 12

220 S Breiel Blvd Ste 220B
Middletown, OH 45044-5166
Phone (513) 849-8670

Other practice location 13

757 Columbus Ave
Lebanon, OH 45036-1607
Phone (513) 836-8230

Other practice location 14

188 W Hebble Ave
Fairborn, OH 45324-4960
Phone (937) 754-5911

Other practice location 15

1235 W Market St
Lima, OH 45805-2728
Phone (567) 289-6060

Other practice location 16

9711 E Pike Rd Rm 104
Cambridge, OH 43725-8936
Phone (740) 825-8543

Other practice location 17

1616 E Liberty St Ste B
Girard, OH 44420-2490
Phone (330) 919-1595

Other practice location 18

1621 Tiffin Ave
Findlay, OH 45840-6848
Phone (567) 525-4100

Other practice location 19

1404 N High St
Hillsboro, OH 45133-8692
Phone (740) 400-0411

Other practice location 20

10 Myrtle Ave
Gallipolis, OH 45631-9772
Phone (740) 208-7462

Other practice location 21

3044 Columbus Lancaster Rd NW
Lancaster, OH 43130-8125
Phone (740) 883-9300

Other practice location 22

379 Adair Ave
Zanesville, OH 43701-2915
Phone (740) 297-6019

Other practice location 23

9 Chesapeake Plz
Chesapeake, OH 45619-1003
Phone (740) 340-1602

Other practice location 24

1156 Columbus Ave Ste C
Washington Court House, OH 43160-2612
Phone (740) 895-5900

Other practice location 25

221 W Emmitt Ave Unit 1
Waverly, OH 45690-1005
Phone (740) 865-4054

Other practice location 26

49 Johnson Rd
The Plains, OH 45780-1146
Phone (740) 764-5429

Other practice location 27

701 Hildreth Ln
Marietta, OH 45750-1768
Phone (740) 371-7194

Other practice location 28

632 Wagner Ave
Greenville, OH 45331-2649
Phone (937) 365-2275

Other practice location 29

5439 Burkhardt Rd
Riverside, OH 45431-2111
Phone (937) 791-1440

Other practice location 30

213 Dayton St
Hamilton, OH 45011-1633
Phone (513) 275-6447

Other practice location 31

411 Center St
Ironton, OH 45638-1506
Phone (740) 302-8370

Other practice location 32

303 Offnere St
Portsmouth, OH 45662-4655
Phone (740) 715-0094

Other practice location 33

53 W Main St Ste 53
Xenia, OH 45385-2979
Phone (937) 971-2350

Other practice location 34

419 Vernon St
Ironton, OH 45638-1637
Phone (740) 479-5120

Other practice location 35

336 E Main St
Jackson, OH 45640-1718
Phone (740) 688-2586

Other practice location 36

11201 Shaker Blvd Ste 102
Cleveland, OH 44104-3833
Phone (216) 758-4120

Other practice location 37

7211 N Main St
Dayton, OH 45415-2566
Phone (937) 791-1427

Other practice location 38

4384 Rhodes Ave
New Boston, OH 45662-5533
Phone (740) 566-5600

Other practice location 39

8237 Hayport Rd # 3&4
Wheelersburg, OH 45694-1781
Phone (740) 270-3534

Other identifiers

IdentifierTypeStateIssuer
0241576MedicaidOH

Other names

  • PATH Integrated Healthcare Doing business as
  • Path Behavioral Healthcare Doing business as
  • Path Integrated Health Doing business as

Other providers in Portsmouth, OH

All providers in Portsmouth, OH · Community/Behavioral Health Agency in Ohio

Sources for this page

Verify at the official NPI Registry.