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PHOENIX SUPPORTED LIVING INC.
NPI 1083750228
Community Based Residential Treatment Facility, Mental Illness in Andrews, NC

Active since January 29, 2007
19 645 HWY 19, 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 02, 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 1083750228) is a healthcare organization registered as a community based residential treatment facility, mental illness 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

NPI1083750228
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NamePHOENIX SUPPORTED LIVING INC.
Location Address19 645 HWY 19Andrews, 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 1083750228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in NC · 8300926
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
19 645 HWY 19, Andrews, NC 28901
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Other Identifiers 1

Medicaid8300926NC

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 1083750228. 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 19 645 Hwy 19, 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 Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

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.