Phoenix Homes, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

496 Issued in OH

Legal business name

PHOENIX HOMES, INC

Practice address

233 N Main St
Delphos, OH 45891

Phone

(419) 692-2421

Fax

(419) 692-2300

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Bruce Maag, MS., LPC, LSW

Title

Ceo

Phone

(419) 692-2421

Specialties & licenses 8

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1609088798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N MAIN ST",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "45891",
            "telephone_number": "419-692-2421",
            "fax_number": "419-692-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N MAIN ST",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "45891",
            "telephone_number": "419-692-2421",
            "fax_number": "419-692-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "MAAG",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-692-2421",
        "authorized_official_credential": "MS., LPC, LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "RI",
            "license": "40064",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "00294",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "500544",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "496",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "SO10124A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "SO10103A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "SO10102A",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AL",
            "license": "046478",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322D0000X",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas R Morris, D.C.
• Jennifer L Nagel, RN
• Michelle Nutt
• Orthopaedic Institute of Ohio
• Karen Marie Overholt
• Stephanie Marie Pierce, MSN, APRN, FNP-C,
• Joel Pohlman, NP-C
• Sarah Elizabeth Pohlman, LMT
• Sheila Ann Pohlman, PT
• Melissa Rau

• Community/Behavioral Health Agency in Delphos, OH
• Providers in Delphos, OH by specialty
• Community/Behavioral Health Agency in Ohio

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