NPIMap

Organization Active NPI

Phoenix Houses of NE

  • Substance Abuse Rehabilitation Facility
  • Dublin, NH
National Provider Identifier
1356441141
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
02724 Issued in NH
Legal business name
PHOENIX HOUSES OF NE
Practice address
1 Pierce Rd
Dublin, NH 03444-0319
Phone
(603) 563-8501
Fax
(603) 563-8296
NPI assigned
Sep 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick McEneaney
Title
Exetutive Director
Phone
(401) 331-4250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 02724 NH Primary

Addresses

Primary practice location

1 Pierce Rd
Dublin, NH 03444-0319

Mailing address

131 Wayland Ave
Providence, RI 02906-4303
Phone (401) 331-4250

Other identifiers 2

IdentifierTypeStateIssuer
80092OtherVTBCBS
1009358MedicaidVT

Other names 1

  • phoenix House dublin Ctr Other name

National Provider Directory

National Provider Directory
Tax ID family
Phoenix House10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

131 Wayland Ave
Providence, RI 02906

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356441141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WAYLAND AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064303",
            "telephone_number": "401-331-4250",
            "fax_number": "401-331-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PIERCE RD",
            "city": "DUBLIN",
            "state": "NH",
            "postal_code": "034440319",
            "telephone_number": "603-563-8501",
            "fax_number": "603-563-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOUSES OF NE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCENEANEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "EXETUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-331-4250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NH",
            "license": "02724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80092",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009358",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "phoenix House dublin Ctr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dublin, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.