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PHOENIX RESIDENCE, INC.
NPI 1144326513
Intermediate Care Facility, Intellectual Disabilities in Saint Paul, MN

Active since September 15, 2006
1500 AMES AVE, SAINT PAUL, MN 55106(651) 774-0194(651) 774-2074 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix Residence, Inc. NPPES

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

PHOENIX RESIDENCE, INC. (NPI 1144326513) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Saint Paul, Minnesota and active in the NPI registry since September 2006. The organization lists Darlene M Scott, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1144326513
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePHOENIX RESIDENCE, INC.
Location Address1500 AMES AVESaint Paul, MN 55106-7022
Mailing Address330 Marie Ave EWest St Paul, MN 55118-4011 · (651) 227-7655 · Fax (651) 227-6847
Phone(651) 774-0194
Fax(651) 774-2074
Organization SubpartNo
Authorized OfficialDarlene M ScottPresident/ceo · (651) 227-7655
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 1, 2008
✔ NPI 1144326513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in MN · 1032513 1 RS
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1500 AMES AVE, Saint Paul, MN 55106
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Other Identifiers 1

Medicaid181633100MN

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 Residence, Inc.'s NPI number?

The NPI number for Phoenix Residence, Inc. is 1144326513. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is Phoenix Residence, Inc. located?

Phoenix Residence, Inc. is located at 1500 Ames Ave, Saint Paul, MN 55106. The listed phone number is (651) 774-0194.

What is Phoenix Residence, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Residence, Inc. was last updated on July 1, 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.