Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Phoenix Residence Inc

Intellectual Disabilities Intermediate Care Facility in Maplewood, MN · enumerated 2006 · authorized official Darlene Scott, President Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245324920

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Phoenix Residence Inc

Practice address 1866 Furness Street, Maplewood, MN, 55109

Phone (651) 777-6349

Fax (651) 779-9492

Enumeration date Oct 3, 2006

Last updated in NPPES Jul 2, 2008

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License 800870 (MN) Primary

Authorized official

Name Darlene Scott

Title President Ceo

Phone (651) 227-7655

Other identifiers

Identifier	Type	State	Issuer
443545100	Medicaid	MN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Phoenix Residence Inc located?

The practice location on file with NPPES is in Maplewood, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-02. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-02.