PHOENIX GROUP HOME, LLC
NPI 1336654854
Substance Abuse Rehabilitation Facility in Cincinnati, OH
NPI Status: Active since December 06, 2017
Contact Information
3012 GLENMORE AVE STE 104
CINCINNATI, OH
ZIP 45238
Phone: (740) 858-1659
Fax: (740) 876-9213
- Organization
- Substance Abuse Rehabilitation Facility
- Accepts Insurance
- CLIA Number: 36D2323410
- CLIA Cert. Type: Other - MENTAL HEALTH
- CLIA Exp. Date: 05-06-2027
About PHOENIX GROUP HOME, LLC
This page provides the complete NPI Profile along with additional information for Phoenix Group Home, Llc, a provider established in Cincinnati, Ohio operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1336654854 assigned on December 2017. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated February 2026. The provider's
- NPI
- 1336654854
- Provider Legal Name
- PHOENIX GROUP HOME, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 3012 GLENMORE AVE STE 104 CINCINNATI, OH 45238
- Location Phone
- (740) 858-1659
- Location Fax
- (740) 876-9213
- Mailing Address
- 3012 GLENMORE AVE STE 104 CINCINNATI, OH 45238
- Mailing Phone
- (740) 858-1659
- Mailing Fax
- (740) 876-9213
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-06-2017
- Last Update Date
- 02-06-2026
- Code Navigator
Location Map
Secondary Locations
- 53 W Main St
Xenia, OH 45385
(937) 971-2350 - 126 N Cross St
West Union, OH 45693
(740) 340-1460 - 9711 E Pike Rd Rm 104
Cambridge, OH 43725
(740) 825-8543 - 49 Johnson Rd
THE PLAINS, OH 45780
(740) 764-4529 - 7211 N Main St
Dayton, OH 45415
(937) 791-1427 - 111 W Water St
Chillicothe, OH 45601
(740) 851-6493 - 11201 Shaker Blvd Ste 102
Cleveland, OH 44104
(216) 758-4120 - 757 Columbus Ave
Lebanon, OH 45036
(513) 836-8230 - 188 W Hebble Ave
Fairborn, OH 45324
(937) 754-5911 - 701 Hildreth Ln
Marietta, OH 45750
(740) 371-7194 - 10 Myrtle Ave
Gallipolis, OH 45631
(740) 208-7462 - 905 N Main St
Findlay, OH 45840
(567) 525-4100 - 221 W Emmitt Ave # 1
Waverly, OH 45690
(740) 835-4054 - 399 Lincoln Park Dr Ste A
New Lexington, OH 43764
(740) 960-0380 - 3044 Columbus Lancaster Rd NW
Lancaster, OH 43130
(740) 883-9300 - 1404 N High St
Hillsboro, OH 45133
(740) 400-0411 - 1235 W Market St
Lima, OH 45805
(567) 289-6060 - 31500 Chieftain Dr Unit Bc
Logan, OH 43138
(740) 270-3286 - 151 S Kennebec Ave
McConnelsville, OH 43756
(740) 960-0380 - 1605 11th St
Portsmouth, OH 45662
(740) 340-1427
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Molina Bronze Enhanced 3500 - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
- Molina Bronze Saver 7000 - HMO
- Molina Bronze Saver 7000 Plus with Adult Dental and Vision - HMO
- Molina Bronze Saver 7000 Plus with Adult Vision - HMO
- Molina Bronze Smart Heart Health - HMO
- Molina Bronze Standard - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Enhanced 895 - HMO
- Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
- Molina Gold Enhanced 895 Plus with Adult Vision - HMO
- Molina Gold Smart Heart Health - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2323410
- Facility Type
- Other - MENTAL HEALTH
- Certificate Effective Date
- May 07, 2025
- Certificate Expiration Date
- May 06, 2027
- Laboratory Director
- ABDELRAHMAN ABDELAZIZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Phoenix Group Home, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PHOENIX GROUP HOME, LLC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1336654854, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
CINCINNATI, OH 45238
CINCINNATI, OH 45238
CINCINNATI, OH 45238
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336654854, enumerated as an "organization" on December 06, 2017.
The provider is located at 3012 GLENMORE AVE STE 104 CINCINNATI, OH 45238 and the phone number is (740) 858-1659.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
