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PHOENIX RESIDENCE, INC.
NPI 1831285816
Intermediate Care Facility, Intellectual Disabilities in Vadnais Heights, MN

Active since October 05, 2006
1336 E COUNTY ROAD E, VADNAIS HEIGHTS, MN 55110(651) 484-3278(651) 484-2792 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phoenix Residence, Inc. NPPES

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

PHOENIX RESIDENCE, INC. (NPI 1831285816) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Vadnais Heights, Minnesota and active in the NPI registry since October 2006. The organization lists Darlene M Scott, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1831285816
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePHOENIX RESIDENCE, INC.
Location Address1336 E COUNTY ROAD EVadnais Heights, MN 55110
Mailing Address330 Marie Ave EWest St Paul, MN 55118-4011 · (651) 227-7655 · Fax (651) 227-6847
Phone(651) 484-3278
Fax(651) 484-2792
Organization SubpartNo
Authorized OfficialDarlene M ScottPresident/ceo · (651) 227-7655
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 1, 2008
✔ NPI 1831285816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in MN · 805117
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

1336 E COUNTY ROAD E, Vadnais Heights, MN 55110
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Other Identifiers 1

Medicaid384045000MN

Frequently Asked Questions

What is PHOENIX RESIDENCE, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1831285816, enumerated as an "organization" on October 05, 2006.

Where is the provider located?

The provider is located at 1336 E COUNTY ROAD E VADNAIS HEIGHTS, MN 55110 and the phone number is (651) 484-3278.

What is the provider's specialty?

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

What insurance does PHOENIX RESIDENCE, INC. accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.