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Phoenix Supported Living Inc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hayesville, NC · enumerated 2007 · authorized official Janet Nemkovich, Director.

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

National Provider Identifier

1700932548

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Registry record

Entity type Organization (Type 2)
Legal business name Phoenix Supported Living Inc
Practice address 2996 Nc 69, Suite 6, Hayesville, NC, 28904
Phone (828) 389-1795
Fax (828) 389-1658
Enumeration date Jan 26, 2007
Last updated in NPPES May 11, 2012

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License 3409428 (NC) Primary

Authorized official

Name Janet Nemkovich
Title Director
Phone (828) 389-1795

Other identifiers

Identifier Type State Issuer
3409428 Medicaid NC -

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.

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Frequently asked questions

Where is Phoenix Supported Living Inc located?
The practice location on file with NPPES is in Hayesville, NC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-05-11. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-05-11.