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PHOENIX HOUSE, INC
NPI 1942394101
Residential Treatment Facility, Emotionally Disturbed Children in Waxhaw, NC

Active since October 03, 2006
8916 WOODHALL LAKE DR, WAXHAW, NC 28173(704) 536-7931 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix House, Inc NPPES

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

PHOENIX HOUSE, INC (NPI 1942394101) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Waxhaw, North Carolina and active in the NPI registry since October 2006. The organization lists Leslie Taylor, Director, as its authorized official.

NPPES Registry Identity

NPI1942394101
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePHOENIX HOUSE, INC
Location Address8916 WOODHALL LAKE DRWaxhaw, NC 28173-6800
Mailing Address8916 Woodhall Lake DrWaxhaw, NC 28173-6800 · (704) 536-7931
Phone(704) 536-7931
Organization SubpartNo
Authorized OfficialLeslie TaylorDirector · (704) 536-7931
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942394101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in NC · 322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
8916 WOODHALL LAKE DR, Waxhaw, NC 28173
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Other Identifiers 1

Medicaid6603417NC

Other Providers at the Same Location NPPES 5

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

PHOENIX HOUSE CHILD AGENCY
Custodial Care Facility
8916 WOODHALL LAKE DR
WAXHAW, NC 28173
Union County (704) 536-7931
PHOENIX HOUSE, INC.
Residential Treatment Facility, Emotionally Disturbed Children
8916 WOODHALL LAKE DR
WAXHAW, NC 28173
Union County (704) 536-7931
RALPH TAYLOR
Counselor (Professional)
8916 WOODHALL LAKE DR
WAXHAW, NC 28173
Union County (704) 968-0345
LESLIE TAYLOR
Social Worker (Clinical)
8916 WOODHALL LAKE DR
WAXHAW, NC 28173
Union County (704) 968-0345
PHOENIX HOUSE INC.
Residential Treatment Facility, Emotionally Disturbed Children
8916 WOODHALL LAKE DR
WAXHAW, NC 28173
Union County (704) 536-7931

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 1942394101. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Phoenix House, Inc located?

Phoenix House, Inc is located at 8916 Woodhall Lake Dr, Waxhaw, NC 28173. The listed phone number is (704) 536-7931.

What is Phoenix House, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Phoenix House, Inc was last updated on August 22, 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.