Phoenix Rehabilitation Services LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PHOENIX REHABILITATION SERVICES LLC

Practice address

2184 S Wilderness Rd
Mount Vernon, KY 40456-7631

Phone

(606) 256-0000

Fax

(606) 256-0008

NPI assigned

Nov 24, 2025

Organization subpart

No

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

Authorized official

Name

Tintisha Clanton

Title

Credentialing/Billing Manager

Phone

(502) 229-7820

Specialties & licenses 1

Addresses

Other names 1

• My Brothers Keepers Doing business as

Locations

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1174484596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 S WILDERNESS RD",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404567631",
            "telephone_number": "606-256-0000",
            "fax_number": "606-256-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 S WILDERNESS RD",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404567631",
            "telephone_number": "606-256-0000",
            "fax_number": "606-256-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "CLANTON",
        "authorized_official_first_name": "TINTISHA",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING MANAGER",
        "authorized_official_telephone_number": "502-229-7820"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Brothers Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela L. Parsons-Woods, PA
• Mohini Reshma Bharat Patel
• Tiffany Patrick, CRNA
• Brittany Perkins-Saylor, PA-C
• Mary Lynn Philbeck, M.ED., LPCC
• Terry E Puckett, CRNA
• Rockcastle County Adult Health Care
• Rockcastle County Ambulance Service Inc
• Rockcastle County Board of Education
• Rockcastle County Hospital, Inc.

• All providers in Mount Vernon, KY
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.