NPIMap

Organization Active NPI

Phoenix Group Homes, Inc.

  • Community/Behavioral Health Agency
  • Mankato, MN
National Provider Identifier
1164675344
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1050058-1-CDT Issued in MN
Legal business name
PHOENIX GROUP HOMES, INC.
Practice address
227 E Main St
Suite 105
Mankato, MN 56001-7732
Phone
(507) 385-0668
Fax
(507) 385-0020
NPI assigned
Oct 31, 2008
Last updated
Oct 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Howard L. Meier
Title
Director
Phone
(651) 230-1895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1050058-1-CDT MN Primary

Addresses

Primary practice location

227 E Main St
Suite 105
Mankato, MN 56001-7732

Mailing address

1011 Interlachen Pkwy
Woodbury, MN 55125-8852
Phone (651) 230-0849

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Recovery Programs Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

227 E Main St
Ste 105
Mankato, MN 56001
Phone (507) 385-0668

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1164675344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 INTERLACHEN PKWY",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551258852",
            "telephone_number": "651-230-0849",
            "fax_number": "651-773-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E MAIN ST",
            "address_2": "SUITE 105",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017732",
            "telephone_number": "507-385-0668",
            "fax_number": "507-385-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "MEIER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-230-1895",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1050058-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.