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Phoenix Residence, Inc.

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

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

National Provider Identifier

1811093206

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Registry record

Entity type Organization (Type 2)
Legal business name Phoenix Residence, Inc.
Practice address 1769 Janet Ct, Arden Hills, MN, 55112
Fax (651) 294-2075
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 1033705 1 RS (MN) Primary

Authorized official

Name Darlene Scott
Title President/Ceo

Other identifiers

Identifier Type State Issuer
617609700 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.

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Frequently asked questions

Where is Phoenix Residence, Inc. located?
The practice location on file with NPPES is in Arden Hills, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-01. Verify at npiregistry.cms.hhs.gov.

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