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PHOENIX SUPPORTED LIVING INC
NPI 1700932548
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hayesville, NC

Active since January 26, 2007
2996 NC 69, SUITE 6, HAYESVILLE, NC 28904(828) 389-1795(828) 389-1658 Get Directions Write a Review

NPPES record last updated: May 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 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 1700932548) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Hayesville, 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

NPI1700932548
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePHOENIX SUPPORTED LIVING INC
Location Address2996 NC 69, SUITE 6Hayesville, NC 28904-7257
Mailing Address2996 Nc 69, Suite 6Hayesville, NC 28904-7257 · (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 UpdateMay 11, 2012
✔ NPI 1700932548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in NC · 3409428
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
2996 NC 69, Hayesville, NC 28904
Open in Google Maps ↗

Other Identifiers 1

Medicaid3409428NC

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOENIX HOME HEALTH CARE INC
Home Health
2996 NC 69, SUITE 5
HAYESVILLE, NC 28904
Clay County (828) 389-4699
D. DUNCAN SUMPTER, P.C.
Community/Behavioral Health
2996 NC 69, SUITE 1
HAYESVILLE, NC 28904
Clay County (828) 837-0071
WESTERN CAROLINA HOME HEALTH ,INC
In Home Supportive Care
2996 NC 69, SUITE 6
HAYESVILLE, NC 28904
Clay County (828) 389-4699

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 1700932548. 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 2996 Nc 69 Suite 6, Hayesville, 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, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Phoenix Supported Living Inc was last updated on May 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.