PHOENIX GROUP HOME, LLC
NPI 1083146013
Community/Behavioral Health in Portsmouth, OH
NPI Status: Active since March 29, 2017
Contact Information
902 GALLIA ST
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 529-2125
Fax: (740) 529-2126
- Organization
- Community/Behavioral Health
- Accepts Insurance
- CLIA Number: 36D2323412
- CLIA Cert. Type: Other - MENTAL HEALTH
- CLIA Exp. Date: 05-06-2027
About PHOENIX GROUP HOME, LLC
This page provides the complete NPI Profile along with additional information for Phoenix Group Home, Llc, a provider established in Portsmouth, Ohio operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1083146013 assigned on March 2017. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated February 2026. The provider's
- NPI
- 1083146013
- Provider Legal Name
- PHOENIX GROUP HOME, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 902 GALLIA ST PORTSMOUTH, OH 45662
- Location Phone
- (740) 529-2125
- Location Fax
- (740) 529-2126
- Mailing Address
- PO BOX 900926 SANDY, UT 84090
- Mailing Phone
- (740) 858-1659
- Mailing Fax
- (740) 529-2126
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-29-2017
- Last Update Date
- 02-09-2026
- Code Navigator
Location Map
Secondary Locations
- 4384 Rhodes Ave
New Boston, OH 45662
(740) 566-5600 - 9 Chesapeake Plz
Chesapeake, OH 45619
(740) 340-1602 - 399 Lincoln Park Dr Ste A
New Lexington, OH 43764
(740) 960-0380 - 1713 Marion Mount Gilead Rd Ste 108
Marion, OH 43302
(740) 396-9970 - 11201 Shaker Blvd Ste 102
Cleveland, OH 44104
(216) 758-4120 - 7211 N Main St
Dayton, OH 45415
(937) 791-1427 - 188 W Hebble Ave
Fairborn, OH 45324
(937) 754-5911 - 1235 W Market St
Lima, OH 45805
(567) 289-6060 - 419 Vernon St
Ironton, OH 45638
(740) 479-5120 - 336 E Main St
Jackson, OH 45640
(740) 688-2586 - 757 Columbus Ave
Lebanon, OH 45036
(513) 836-8230 - 53 W Main St Ste 53
Xenia, OH 45385
(937) 971-2350 - 379 Adair Ave
Zanesville, OH 43701
(740) 297-6019 - 1156 Columbus Ave Ste C
Washington Court House, OH 43160
(740) 895-5900 - 221 W Emmitt Ave Unit 1
Waverly, OH 45690
(740) 865-4054 - 49 Johnson Rd
The Plains, OH 45780
(740) 764-5429 - 701 Hildreth Ln
Marietta, OH 45750
(740) 371-7194 - 151 S Kennebec Ave
McConnelsville, OH 43756
(740) 960-0568 - 220 S Breiel Blvd Ste 220B
Middletown, OH 45044
(513) 849-8670 - 1605 11th St
Portsmouth, OH 45662
(740) 883-9321 - 31500 Chieftain Dr Unit Bc
Logan, OH 43138
(740) 270-3286 - 8237 Hayport Rd # 3&4
Wheelersburg, OH 45694
(740) 270-3534 - 905 N Main St
Findlay, OH 45840
(567) 525-4100 - 632 Wagner Ave
Greenville, OH 45331
(937) 365-2275 - 213 Dayton St
Hamilton, OH 45011
(513) 275-6447 - 411 Center St
Ironton, OH 45638
(740) 302-8370 - 303 Offnere St
Portsmouth, OH 45662
(740) 715-0094 - 5439 Burkhardt Rd
Riverside, OH 45431
(937) 791-1440 - 2057 S Limestone St
Springfield, OH 45505
(937) 226-9787 - 126 N Cross St
West Union, OH 45693
(740) 340-1460 - 9711 E Pike Rd Rm 104
Cambridge, OH 43725
(740) 825-8543 - 1616 E Liberty St Ste B
Girard, OH 44420
(330) 919-1595 - 1621 Tiffin Ave
Findlay, OH 45840
(567) 525-4100 - 10 Myrtle Ave
Gallipolis, OH 45631
(740) 208-7462 - 1404 N High St
Hillsboro, OH 45133
(740) 400-0411 - 3044 Columbus Lancaster Rd NW
Lancaster, OH 43130
(740) 883-9300 - 111 W Water St
Chillicothe, OH 45601
(740) 851-6493 - 3012 Glenmore Ave Ste 104
Cincinnati, OH 45238
(513) 914-1815 - 1475 Lexington Ave Ste A
Mansfield, OH 44907
(419) 386-0954
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Molina Bronze Enhanced 3500 - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
- Molina Bronze Saver 7000 - HMO
- Molina Bronze Saver 7000 Plus with Adult Dental and Vision - HMO
- Molina Bronze Saver 7000 Plus with Adult Vision - HMO
- Molina Bronze Smart Heart Health - HMO
- Molina Bronze Standard - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0241576 | MEDICAID (05) | OH |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2323412
- Facility Type
- Other - MENTAL HEALTH
- Certificate Effective Date
- May 07, 2025
- Certificate Expiration Date
- May 06, 2027
- Laboratory Director
- ABDELRAHMAN ABDELAZIZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Phoenix Group Home, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PHOENIX GROUP HOME, LLC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083146013, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORTSMOUTH, OH 45662
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083146013, enumerated as an "organization" on March 29, 2017.
The provider is located at 902 GALLIA ST PORTSMOUTH, OH 45662 and the phone number is (740) 529-2125.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
