Phoenix Community Services

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

PHOENIX COMMUNITY SERVICES

Practice address

1200 E 32ND St
Anderson, IN 46016-5631

Phone

(765) 622-7808

Fax

(765) 622-7858

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

Ms. Margaret A Davis, R.N,

Title

Registered Nurse

Phone

(765) 622-7808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740402155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E 32ND ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165631",
            "telephone_number": "765-622-7808",
            "fax_number": "765-622-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E 32ND ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165631",
            "telephone_number": "765-622-7808",
            "fax_number": "765-622-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "765-622-7808",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N,"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phyllis M Olson PSYD HSPP LLC
• Physicians Ambulance Service of Indiana, LLC
• Physicians Weight Loss Center
• Briana Ellen Pickering, RBT

• Developmentally Disabled Services Day Training Agency in Anderson, IN
• Providers in Anderson, IN by specialty
• Developmentally Disabled Services Day Training Agency in Indiana

• 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.