PHOENIX HOUSE (NPI# 1841403136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841403136 |
Entity Type | Organization |
Organization Name | PHOENIX HOUSE |
Practice Address |
101 Franklin St Westerly RI 02891-3198 |
Practice Telephone | 4013489995 |
Practice Fax Number | 4013489995 |
Mailing Telephone | 4013489995 |
Mailing Fax Number | 4013482004 |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. LINDSEY J. BRUINS (COUNSELOR) |
Authorized Official Telephone | 4013489995 |
Authorized Official Credential | RCS, LCDP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023408309 | Phoenix House | Community/Behavioral Health | 5 Madison Ave, Springfield, MA 01105-1403 | 2015-01-26 |
1497164818 | Phoenix House | Residential Treatment Facility, Emotionally Disturbed Children | 200 N Glebe Rd, Arlington, VA 22203-3728 | 2014-08-11 |
1982929592 | Phoenix House | Clinic/Center | 15 Mulberry St, Springfield, MA 01105-1433 | 2010-04-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PHOENIX HOUSE | 50 Jay St, Brooklyn, NY 11201-1144 |
Oregon Corporations, Companies and Business Names | PHOENIX HOUSE | 675 Hughes St, Eugene, OR 97402 |
System for Award Management (SAM) Entities | PHOENIX HOUSE APARTMENTS | 4400 Knight Rd Sw, Huntsville, AL 35801-5539 |
New York State Corporations | PHOENIX HOUSE CAPITAL, LLC | Buffalo, New York 14223 |
Indiana Business Entities | PHOENIX HOUSE INC | 316 First Bank Bldg, South Bend, IN 46601 |
Virginia Business Entities | Phoenix House Mid-Atlantic Property Management Inc. | 200 N Glebe Rd Ste 104, Arlington, Virginia 22203 |
Connecticut Business Registrations | PHOENIX HOUSE OF NEW MILFORD, LLC | 15 East St, New Milford, CT 06776 |
Oregon Corporations, Companies and Business Names | PHOENIX HOUSE PUBLISHING, LLC | 525 14th St Ne, Salem, OR 97301 |
System for Award Management (SAM) Entities | PHOENIX HOUSE, SEXUAL ASSAULT & DOMESTIC VIOLENCE RESOURCE CENTER, THE | 710 E Cottonwood Ln, Hobbs, NM 88242-8524 |
System for Award Management (SAM) Entities | PHOENIX HOUSES OF FLORIDA | 510 Vonderburg Dr Ste 301, Brandon, FL 33511-6072 |
Street Address |
101 FRANKLIN ST |
City | WESTERLY |
State | RI |
Zip Code | 02891-3198 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205041316 | Lindsey J. Bruins | Counselor | 101 Franklin St, Westerly, RI 02891-3198 | 2007-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841741931 | Orthopedics Rhode Island, Inc | Orthopaedic Surgery | 268 Post Road, Westerly, RI 02891 | 2016-10-24 |
1235554072 | Ocean State Urgent Care Center of Westerly, LLC | Clinic/Center | 77 Franklin Street, Westerly, RI 02891 | 2014-03-04 |
1972843530 | Christine Elizabeth Mcauliffe | Psychologist | 93 Tower Street, Westerly, RI 02891 | 2013-02-19 |
1902156631 | Gustave Polzer Brucker Iv | Physical Therapist | 33 Pearl Street, Westerly, RI 02891 | 2012-09-10 |
1194964098 | Katherine Anne Chesson | Social Worker | 16 High St Ste 6, Westerly, RI 02891 | 2009-02-17 |
1679758114 | Rhode Island Cvs Pharmacy,l.l.c. | Durable Medical Equipment & Medical Supplies | 151 Franklin St., Westerly, RI 02891 | 2008-01-03 |
1316060346 | Glen Edward Foden | Dentist | 13 Grove Avenue, Westerly, RI 02891 | 2007-04-06 |
1144344888 | Town of Westerly | Local Education Agency (LEA) | 15 Highland Avenue, Westerly, RI 02891 | 2007-03-19 |
1144365644 | Babcock Village Apartments | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Cross Street, Westerly, RI 02891 | 2007-02-21 |
1477698298 | Monica Lee Bailey | Counselor | 28 Wells Street, Westerly, RI 02891 | 2007-02-20 |
Find all providers in zip 02891 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1417955733 | Discovery House Utah | Clinic/Center | 88 W Warwick Ave, West Warwick, RI 02893-3871 | 2005-07-11 |
1295731321 | Codac Inc | Clinic/Center | 1052 Park Ave, Codac Cranston, Cranston, RI 02910 | 2005-06-23 |
1639638331 | Galilee Mission | Clinic/Center | 23 Arnold St, South Kingstown, RI 02879-3701 | 2019-03-13 |
1194292235 | Adcare Rhode Island | Clinic/Center | 600 Putnam Pike Ste 7, Greenville, RI 02828-1487 | 2018-10-26 |
1902373046 | Adcare Rhode Island | Clinic/Center | 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 | 2018-10-26 |
1114430907 | Comprehensive Addiction Treatment LLC | Clinic/Center | 1950 Tower Hill Rd, N Kingstown, RI 02852-6639 | 2017-11-15 |
1376938654 | Vita Nova LLC | Clinic/Center | 66 Pavilion Ave, Providence, RI 02905-1522 | 2015-04-02 |
1023359122 | P and R Recovery Services LLC | Clinic/Center | 11 King Charles Dr, A2, Portsmouth, RI 02871-1446 | 2013-03-14 |
1629102579 | Thrive Behavioral Health | Clinic/Center | 50 Health Ln, Warwick, RI 02886-2711 | 2007-03-15 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.