Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Phoenix Residence, Inc.

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

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

National Provider Identifier

1417053893

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Phoenix Residence, Inc.

Practice address 1538 Point Douglas Rd S, Saint Paul, MN, 55119

Phone (651) 739-6930

Fax (651) 739-1055

Enumeration date Sep 15, 2006

Last updated in NPPES Jul 1, 2008

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License 1032512 1RS (MN) Primary

Authorized official

Name Darlene Scott

Title President/Ceo

Phone (651) 227-7655

Other identifiers

Identifier	Type	State	Issuer
849607200	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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-01. Verify at npiregistry.cms.hhs.gov.

Where is Phoenix Residence, Inc. located?

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

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-01.