The Phoenix Group Homes LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

THE PHOENIX GROUP HOMES LLC

Practice address

1150 Alstead CT NW
Concord, NC 28027-8653

Phone

(602) 748-0919

NPI assigned

Mar 8, 2023

Organization subpart

Yes

Parent organization

THE PHOENIX GROUP HOMES LLCAs reported in NPPES

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

Authorized official

Name

Hyacinth Powell

Title

President

Phone

(602) 748-0919

Specialties & licenses 1

Addresses

Other names 1

• The Phoenix Group Homes LLC Doing business as

Part of

The Phoenix Group Homes LLC

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1891495719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 ALSTEAD CT NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278653",
            "telephone_number": "602-748-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ALSTEAD CT NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278653",
            "telephone_number": "602-748-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHOENIX GROUP HOMES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PHOENIX GROUP HOMES LLC",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "HYACINTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-748-0919"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Phoenix Group Homes LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Concord, NC
• Providers in Concord, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.