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PHOENIX HOUSE INC.
NPI 1841464492
Substance Abuse Rehabilitation Facility in Calumet, MI

Active since April 15, 2008CLIA 23D2312509 · Waiver
57467 WATERWORKS ST, CALUMET, MI 49913(906) 337-0763(906) 337-0768 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix House Inc. NPPES

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

PHOENIX HOUSE INC. (NPI 1841464492) is a healthcare organization registered as a substance abuse rehabilitation facility in Calumet, Michigan and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through October 13, 2026 and lists Mark Allen Maggio, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1841464492
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePHOENIX HOUSE INC.
Location Address57467 WATERWORKS STCalumet, MI 49913-1258
Mailing Address57467 Waterworks St, Po Box 468Calumet, MI 49913-1258 · (906) 337-0763 · Fax (906) 337-0768
Phone(906) 337-0763
Fax(906) 337-0768
Organization SubpartNo
Authorized OfficialMark Allen MaggioExecutive Director · (906) 337-0763
Enumeration DateApril 15, 2008
✔ NPI 1841464492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MI · 310003
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.
57467 WATERWORKS ST, Calumet, MI 49913
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2312509

Phoenix House, Inc · Calumet, MI
Active · expires Oct 13, 2026
CLIA Number23D2312509
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorMark Maggio
Laboratory Phone(906) 337-0763
Laboratory LocationPhoenix House, Inc57467 Waterworks Road, Calumet, MI 49913
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

RYAN ANTHONY SALANI
Peer Specialist
57467 WATERWORKS ST
CALUMET, MI 49913
Houghton County (906) 337-0763
MICHAEL ARTHUR GAUNT
Peer Specialist
57467 WATERWORKS ST
CALUMET, MI 49913
Houghton County (906) 337-0763
DEAN W RAYMOND
Peer Specialist
57467 WATERWORKS ST
CALUMET, MI 49913
Houghton County (906) 364-1556

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 House Inc.'s NPI number?

The NPI number for Phoenix House Inc. is 1841464492. It was assigned to this organization in the NPPES registry on April 15, 2008.

Where is Phoenix House Inc. located?

Phoenix House Inc. is located at 57467 Waterworks St, Calumet, MI 49913. The listed phone number is (906) 337-0763.

What is Phoenix House Inc.'s specialty?

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

Does Phoenix House Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2312509) is associated with this NPI, valid through October 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phoenix House Inc. was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.