Phoenix Residence Inc
Phoenix Residence Inc is a healthcare organization registered as Intellectual Disabilities Intermediate Care Facility in Maplewood, MN, holding Type 2 (organization) NPI 1245324920 since 2006. The authorized official on file is Darlene Scott, President Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1245324920 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Phoenix Residence Inc |
| Practice address | 1866 FURNESS STREET, Maplewood, MN, 55109 |
| Phone | 6517776349 |
| Fax | 6517799492 |
| Enumeration date | 2006-10-03 |
| Last updated in NPPES | 2008-07-02 |
Authorized official
| Name | Darlene Scott |
|---|---|
| Title | President Ceo |
| Phone | 6512277655 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | Primary | 800870 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 443545100 | Medicaid | MN | — |
Copy-ready billing details
Provider: Phoenix Residence Inc NPI: 1245324920 Taxonomy: 315P00000X (Intellectual Disabilities Intermediate Care Facility) Address: 1866 FURNESS STREET, Maplewood, MN, 55109
Verify this record
Cross-check NPI 1245324920 against the authoritative CMS record: view Phoenix Residence Inc on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Where is Phoenix Residence Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-07-02.