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PHOENIX HOUSE CHILD AGENCY
NPI 1053586065
Custodial Care Facility in Waxhaw, NC

Active since April 30, 2008
8916 WOODHALL LAKE DR, WAXHAW, NC 28173(704) 536-7931 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix House Child Agency NPPES

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

PHOENIX HOUSE CHILD AGENCY (NPI 1053586065) is a healthcare organization registered as a custodial care facility in Waxhaw, North Carolina and active in the NPI registry since April 2008. The organization lists Leslie Taylor, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1053586065
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NamePHOENIX HOUSE CHILD AGENCY
Location Address8916 WOODHALL LAKE DRWaxhaw, NC 28173-6800
Mailing Address8916 Woodhall Lake DrWaxhaw, NC 28173-6800 · (704) 536-7931
Phone(704) 536-7931
Organization SubpartNo
Authorized OfficialLeslie TaylorSocial Worker · (704) 536-7931
Enumeration DateApril 30, 2008
✔ NPI 1053586065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
8916 WOODHALL LAKE DR, Waxhaw, NC 28173
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Other Providers at the Same Location NPPES 5

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

PHOENIX HOUSE, INC.
Residential Treatment Facility, Emotionally Disturbed Children
8916 WOODHALL LAKE DR
WAXHAW, NC 28173
Union County (704) 536-7931
RALPH TAYLOR
Counselor (Professional)
8916 WOODHALL LAKE DR
WAXHAW, NC 28173
Union County (704) 968-0345
LESLIE TAYLOR
Social Worker (Clinical)
8916 WOODHALL LAKE DR
WAXHAW, NC 28173
Union County (704) 968-0345
PHOENIX HOUSE INC.
Residential Treatment Facility, Emotionally Disturbed Children
8916 WOODHALL LAKE DR
WAXHAW, NC 28173
Union County (704) 536-7931
PHOENIX HOUSE, INC
Residential Treatment Facility, Emotionally Disturbed Children
8916 WOODHALL LAKE DR
WAXHAW, NC 28173
Union County (704) 536-7931

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 House Child Agency's NPI number?

The NPI number for Phoenix House Child Agency is 1053586065. It was assigned to this organization in the NPPES registry on April 30, 2008.

Where is Phoenix House Child Agency located?

Phoenix House Child Agency is located at 8916 Woodhall Lake Dr, Waxhaw, NC 28173. The listed phone number is (704) 536-7931.

What is Phoenix House Child Agency's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Phoenix House Child Agency was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.