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PHOENIX SUPPORTED LIVING INC
NPI 1174679948
Community Based Residential Treatment Facility, Mental Illness in Andrews, NC

Active since January 26, 2007
140 ADAMS DRIVE, ANDREWS, NC 28904(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: July 26, 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 1174679948) 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

NPI1174679948
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NamePHOENIX SUPPORTED LIVING INC
Location Address140 ADAMS DRIVEAndrews, NC 28904
Mailing Address2996 Nc 69 S., Suite 6Hayesville, NC 28904 · (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 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174679948 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 · 7805326
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

140 ADAMS DRIVE, Andrews, NC 28904
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Other Identifiers 1

Medicaid7805326NC

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 1174679948. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Phoenix Supported Living Inc located?

Phoenix Supported Living Inc is located at 140 Adams Drive, Andrews, NC 28904. 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 with the weekly NPPES data releases published by CMS.