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PHOENIX MANAGEMENT LLC
NPI 1154714897
Day Training, Developmentally Disabled Services in Chubbuck, ID

Active since March 05, 2015
10991 DEERRIDGE DR., CHUBBUCK, ID 83202(208) 317-3625 Get Directions Write a Review

NPPES record last updated: March 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Management Llc NPPES

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

PHOENIX MANAGEMENT LLC (NPI 1154714897) is a healthcare organization registered as a day training, developmentally disabled services in Chubbuck, Idaho and active in the NPI registry since March 2015. The organization lists Merinda Halladay, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1154714897
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NamePHOENIX MANAGEMENT LLC
Location Address10991 DEERRIDGE DR.Chubbuck, ID 83202
Mailing Address10991 Deerridge Dr.Chubbuck, ID 83202 · (208) 317-3625
Phone(208) 317-3625
Organization SubpartNo
Authorized OfficialMerinda HalladayOwner/administrator · (208) 317-3625
Enumeration DateMarch 5, 2015
✔ NPI 1154714897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
10991 DEERRIDGE DR., Chubbuck, ID 83202
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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 Management LLC's NPI number?

The NPI number for Phoenix Management LLC is 1154714897. It was assigned to this organization in the NPPES registry on March 5, 2015.

Where is Phoenix Management LLC located?

Phoenix Management LLC is located at 10991 Deerridge Dr., Chubbuck, ID 83202. The listed phone number is (208) 317-3625.

What is Phoenix Management LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Management LLC was last updated on March 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.