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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHOENIX REHABILITATION SERVICES LLC
NPI 1174484596
Substance Abuse Rehabilitation Facility in Mount Vernon, KY

Active since November 24, 2025
2184 S WILDERNESS RD, MOUNT VERNON, KY 40456(606) 256-0000(606) 256-0008 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 6, 2026, Nov 24, 2025 (2 updates tracked since 2025).

About Phoenix Rehabilitation Services Llc NPPES

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

PHOENIX REHABILITATION SERVICES LLC (NPI 1174484596), doing business as My Brothers Keepers, is a healthcare organization registered as a substance abuse rehabilitation facility in Mount Vernon, Kentucky and active in the NPI registry since November 2025. The organization lists Tintisha Clanton, Credentialing/billing Manager, as its authorized official.

NPPES Registry Identity

NPI1174484596
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePHOENIX REHABILITATION SERVICES LLC
Location Address2184 S WILDERNESS RDMount Vernon, KY 40456-7631
Mailing Address2184 S Wilderness RdMount Vernon, KY 40456-7631 · (606) 256-0000 · Fax (606) 256-0008
Phone(606) 256-0000
Fax(606) 256-0008
Organization SubpartNo
Authorized OfficialTintisha ClantonCredentialing/billing Manager · (502) 229-7820
Enumeration DateNovember 24, 2025
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1174484596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2184 S WILDERNESS RD, Mount Vernon, KY 40456
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Other Names 1

Doing Business AsMy Brothers Keepers

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 Rehabilitation Services LLC's NPI number?

The NPI number for Phoenix Rehabilitation Services LLC is 1174484596. It was assigned to this organization in the NPPES registry on November 24, 2025. The provider is doing business as My Brothers Keepers.

Where is Phoenix Rehabilitation Services LLC located?

Phoenix Rehabilitation Services LLC is located at 2184 S Wilderness Rd, Mount Vernon, KY 40456. The listed phone number is (606) 256-0000.

What is Phoenix Rehabilitation Services LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Phoenix Rehabilitation Services LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.