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PHOENIX DEVELOPMENTAL SERVICES LLC
NPI 1740990084
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Emporia, KS

Active since November 28, 2022
1114 EAST ST APT 2, EMPORIA, KS 66801(620) 481-7728 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix Developmental Services Llc NPPES

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

PHOENIX DEVELOPMENTAL SERVICES LLC (NPI 1740990084) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Emporia, Kansas and active in the NPI registry since November 2022. The organization lists Roy T Lingenfelter, Owner-director, as its authorized official.

NPPES Registry Identity

NPI1740990084
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePHOENIX DEVELOPMENTAL SERVICES LLC
Location Address1114 EAST ST APT 2Emporia, KS 66801-7103
Mailing Address2400 W View TerEmporia, KS 66801-5951 · (620) 481-7728
Phone(620) 481-7728
Organization SubpartNo
Authorized OfficialRoy T LingenfelterOwner-director · (620) 481-7728
Enumeration DateNovember 28, 2022
NPPES CertifiedNovember 28, 2022
✔ NPI 1740990084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
1114 EAST ST APT 2, Emporia, KS 66801
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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 Developmental Services LLC's NPI number?

The NPI number for Phoenix Developmental Services LLC is 1740990084. It was assigned to this organization in the NPPES registry on November 28, 2022.

Where is Phoenix Developmental Services LLC located?

Phoenix Developmental Services LLC is located at 1114 East St Apt 2, Emporia, KS 66801. The listed phone number is (620) 481-7728.

What is Phoenix Developmental Services LLC'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 Developmental Services LLC was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.