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

PHOENIX DOMUS
NPI 1336728724
Substance Abuse Rehabilitation Facility in Altoona, PA

Q: What is Phoenix Domus's NPI number?

The NPI number for Phoenix Domus is 1336728724. It was assigned to this organization in the NPPES registry on April 5, 2021.

Q: What is Phoenix Domus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phoenix Domus was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 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.

Active since April 05, 2021

114 BEECH AVE, ALTOONA, PA 16601(814) 502-5157 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Phoenix Domus NPPES

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

PHOENIX DOMUS (NPI 1336728724) is a healthcare organization registered as a substance abuse rehabilitation facility in Altoona, Pennsylvania and active in the NPI registry since April 2021. The organization lists Gregory Alan Mcconnell, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1336728724

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NamePHOENIX DOMUS

Location Address114 BEECH AVEAltoona, PA 16601-4235

Mailing Address114 Beech AveAltoona, PA 16601-4235 · (814) 502-5157

Phone(814) 502-5157

Organization SubpartNo

Authorized OfficialGregory Alan McconnellProgram Manager · (814) 934-6513

Enumeration DateApril 5, 2021

Last NPPES UpdateJune 24, 2026

NPPES CertifiedJune 24, 2026

✔ NPI 1336728724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

114 BEECH AVE, Altoona, PA 16601

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Other Identifiers 1

Medicaid077037PA

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 Domus's NPI number?

The NPI number for Phoenix Domus is 1336728724. It was assigned to this organization in the NPPES registry on April 5, 2021.

Where is Phoenix Domus located?

Phoenix Domus is located at 114 Beech Ave, Altoona, PA 16601. The listed phone number is (814) 502-5157.

What is Phoenix Domus'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 Domus was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 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.