NPIMap

Organization Active NPI

Phoenix House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Tuscaloosa, AL
National Provider Identifier
1831238385
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PHOENIX HOUSE, INC.
Practice address
700 35TH Ave
Tuscaloosa, AL 35401-1330
Phone
(205) 758-3867
Fax
(205) 758-3803
NPI assigned
Feb 5, 2007
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. Ronald L Colvin, CADP
Title
Executive Director
Phone
(205) 758-3867

Specialties & licenses 1

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

Addresses

Primary practice location

700 35TH Ave
Tuscaloosa, AL 35401-1330

Mailing address

700 35TH Ave
Tuscaloosa, AL 35401-1330
Phone (205) 758-3867

National Provider Directory

National Provider Directory

Locations

700 35th Ave
Tuscaloosa, AL 35401
Phone (205) 758-3867

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831238385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 35TH AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011330",
            "telephone_number": "205-758-3867",
            "fax_number": "205-758-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 35TH AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011330",
            "telephone_number": "205-758-3867",
            "fax_number": "205-758-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-758-3867",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

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.