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PHOENIX SUPPORTED LIVING INC
NPI 1033298864
Assisted Living Facility - Assisted Living, Mental Illness in Hayesville, NC

Active since November 03, 2006
2996 NC 69 S, SUITE #6, HAYESVILLE, NC 28904(828) 389-1795 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 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 1033298864) is a healthcare organization registered as an assisted living, mental illness in Hayesville, North Carolina and active in the NPI registry since November 2006. The organization lists Tony J Schmidt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033298864
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NamePHOENIX SUPPORTED LIVING INC
Location Address2996 NC 69 S, SUITE #6Hayesville, NC 28904
Mailing Address2996 Nc 69 S, Suite #6Hayesville, NC 28904 · (828) 389-1795 · Fax (828) 389-1658
Phone(828) 389-1795
Organization SubpartNo
Authorized OfficialTony J SchmidtCeo · (828) 389-1795
Enumeration DateNovember 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1033298864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
2996 NC 69 S, Hayesville, NC 28904
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Other Identifiers 14

Medicaid8300926NC
Medicaid8300927NC
Medicaid8300648NC
Medicaid7804847NC
Medicaid7805099NC
Medicaid8300925NC
Medicaid7805326NC
Medicaid7804263NC
Medicaid7804651NC
Medicaid8600541NC
Medicaid3409428NC
Medicaid8301106NC
Medicaid7805529NC
Medicaid8300971NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOENIX HOME HEALTH CARE INC
Home Health
2996 NC 69 S, SUITE 5
HAYESVILLE, NC 28904
Clay County (828) 389-4699

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 1033298864. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Phoenix Supported Living Inc located?

Phoenix Supported Living Inc is located at 2996 Nc 69 S Suite #6, Hayesville, NC 28904. The listed phone number is (828) 389-1795.

What is Phoenix Supported Living Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

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 6 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.