EAGLE PHOENIX RESIDENTIAL & BEHAVORIAL HEALTH SERVICES LLC
NPI 1922610088
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Danville, VA

Q: What is Eagle Phoenix Residential & Behavorial Health Services LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since August 20, 2020

1345 N MAIN ST, DANVILLE, VA 24540(434) 429-2649 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eagle Phoenix Residential & Behavorial Health Services Llc NPPES

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

EAGLE PHOENIX RESIDENTIAL & BEHAVORIAL HEALTH SERVICES LLC (NPI 1922610088) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Danville, Virginia and active in the NPI registry since August 2020. The organization lists Monica Lotoria Ballou, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1922610088

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameEAGLE PHOENIX RESIDENTIAL & BEHAVORIAL HEALTH SERVICES LLC

Location Address1345 N MAIN STDanville, VA 24540-3721

Mailing Address1345 N Main StDanville, VA 24540-3721 · (434) 429-2649

Phone(434) 429-2649

Organization SubpartNo

Authorized OfficialMonica Lotoria BallouCeo/owner · (434) 429-2649

Enumeration DateAugust 20, 2020

NPPES CertifiedAugust 20, 2020

✔ NPI 1922610088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

1345 N MAIN ST, Danville, VA 24540

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Other Names 1

Former Legal Business NameEagle Phoenix Residential & Behavorial Health Services Llc

Other Providers at the Same Location NPPES

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

MONICA LOTORIA BALLOU

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1345 N MAIN ST
DANVILLE, VA 24540

Danville City (434) 429-2649

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 Eagle Phoenix Residential & Behavorial Health Services LLC's NPI number?

The NPI number for Eagle Phoenix Residential & Behavorial Health Services LLC is 1922610088. It was assigned to this organization in the NPPES registry on August 20, 2020.

Where is Eagle Phoenix Residential & Behavorial Health Services LLC located?

Eagle Phoenix Residential & Behavorial Health Services LLC is located at 1345 N Main St, Danville, VA 24540. The listed phone number is (434) 429-2649.

What is Eagle Phoenix Residential & Behavorial Health Services LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Eagle Phoenix Residential & Behavorial Health Services LLC was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.