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PHOENIX SUPPORTED LIVING INC
NPI 1013053255
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Andrews, NC

Active since January 29, 2007
48 BRITIAN TRACE, ANDREWS, NC 28901(828) 389-1795(828) 389-1658 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Supported Living Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX SUPPORTED LIVING INC (NPI 1013053255) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Andrews, North Carolina and active in the NPI registry since January 2007. The organization lists Janet Melissa Nemkovich, Director, as its authorized official.

NPPES Registry Identity

NPI1013053255
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NamePHOENIX SUPPORTED LIVING INC
Location Address48 BRITIAN TRACEAndrews, NC 28901
Mailing Address2996 Nc 69, Suite 6Hayesville, NC 28904-7257 · (828) 389-1795 · Fax (828) 389-1658
Phone(828) 389-1795
Fax(828) 389-1658
Organization SubpartNo
Authorized OfficialJanet Melissa NemkovichDirector · (828) 389-1795
Enumeration DateJanuary 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013053255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · 8300925
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
48 BRITIAN TRACE, Andrews, NC 28901
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Other Identifiers 1

Medicaid8300925NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Supported Living Inc's NPI number?

The NPI number for Phoenix Supported Living Inc is 1013053255. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Phoenix Supported Living Inc located?

Phoenix Supported Living Inc is located at 48 Britian Trace, Andrews, NC 28901. The listed phone number is (828) 389-1795.

What is Phoenix Supported Living Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Phoenix Supported Living Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.