Phoenix Residential LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PHOENIX RESIDENTIAL LLC

Practice address

2200 W Alexis Rd Ste B
Toledo, OH 43613-2100

Phone

(567) 868-7810

NPI assigned

Jul 10, 2024

Last updated

Jul 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Robinson

Title

Ceo

Phone

(567) 868-7810

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1629815493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435280146",
            "telephone_number": "567-868-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W ALEXIS RD STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436132100",
            "telephone_number": "567-868-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "567-868-7810"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Andrew Phillips, D.O.
• Tonitra Phillips
• Richard Clifton Phinney, M.D.
• Risa M Phipps, LSW
• Mina Samy Phlamon
• Physicians Group
• Physiosource LTD.
• Physiotherapy Associates, Inc
• Kathleen Ruth Piazza, D.O.
• Brian M Pickens, PA-C

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Toledo, OH
• Providers in Toledo, OH by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.